P-wave alternans in a patient with hyponatremia

We describe an unusual electrocardiographic (ECG) case of an alternating P-wave configuration that spares other ECG components. Hyponatremia due to chronic indapamide use was proposed as a plausible cause of this ECG phenomenon because its correction led to the recovery of a steady P-wave morphology...

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Main Authors: Georgios Tsiaousis, MD, MSc, Nikolaos Fragakis, MD, PhD, FESC
Format: Article
Language:English
Published: Elsevier 2016-05-01
Series:Hellenic Journal of Cardiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1109966616300781
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author Georgios Tsiaousis, MD, MSc
Nikolaos Fragakis, MD, PhD, FESC
author_facet Georgios Tsiaousis, MD, MSc
Nikolaos Fragakis, MD, PhD, FESC
author_sort Georgios Tsiaousis, MD, MSc
collection DOAJ
description We describe an unusual electrocardiographic (ECG) case of an alternating P-wave configuration that spares other ECG components. Hyponatremia due to chronic indapamide use was proposed as a plausible cause of this ECG phenomenon because its correction led to the recovery of a steady P-wave morphology.
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spelling doaj.art-eac9a17816684b838d8ef5d3bb1eab8d2022-12-22T02:20:29ZengElsevierHellenic Journal of Cardiology1109-96662016-05-0157318819010.1016/j.hjc.2015.12.001P-wave alternans in a patient with hyponatremiaGeorgios Tsiaousis, MD, MSc0Nikolaos Fragakis, MD, PhD, FESC1Private Cardiology Practice, 14A Ath. Diakou Str., 52100 Kastoria, GreeceThird Department of Cardiology, Hippokrateion Hospital, Aristotle University Medical School, 49 Konstantinoupoleos Str., 54642 Thessaloniki, GreeceWe describe an unusual electrocardiographic (ECG) case of an alternating P-wave configuration that spares other ECG components. Hyponatremia due to chronic indapamide use was proposed as a plausible cause of this ECG phenomenon because its correction led to the recovery of a steady P-wave morphology.http://www.sciencedirect.com/science/article/pii/S1109966616300781ECG changesindapamideelectrolyte disorders
spellingShingle Georgios Tsiaousis, MD, MSc
Nikolaos Fragakis, MD, PhD, FESC
P-wave alternans in a patient with hyponatremia
Hellenic Journal of Cardiology
ECG changes
indapamide
electrolyte disorders
title P-wave alternans in a patient with hyponatremia
title_full P-wave alternans in a patient with hyponatremia
title_fullStr P-wave alternans in a patient with hyponatremia
title_full_unstemmed P-wave alternans in a patient with hyponatremia
title_short P-wave alternans in a patient with hyponatremia
title_sort p wave alternans in a patient with hyponatremia
topic ECG changes
indapamide
electrolyte disorders
url http://www.sciencedirect.com/science/article/pii/S1109966616300781
work_keys_str_mv AT georgiostsiaousismdmsc pwavealternansinapatientwithhyponatremia
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