Cardiophile MD Archive

Dome and dart P wave

Posted by: Johnson Francis on: 20 Sep, 2009

Dome and dart P wave is seen in:

A. Left atrial rhythm
B. Right atrial rhythm
C. Sinus rhythm
D. Junctional rhythm

Answer: A

The dome and dart P wave in left atrial rhythm is seen in Lead V1. The initial dome represents the left atrial activation and the terminal dart represents the right atrial activation. Other features of left atrial rhythm are inverted P waves in inferior and lateral leads.

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