News  |  Journals  |  Conferences  |  Blogs  |  Articles  |  Forums  |  Twitter   



Doctors Lounge - Cardiology Answers

"The information provided on is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician."

Back to Cardiology Answers List

Forum Name: Arrhythmias

Question: ECG P waves

 donnalee - Wed Apr 11, 2007 3:54 am

I suffer sick sinus syndrome and have a pacemaker and last month an ablation for atrial flutter. My during my post ablation check up my cardiologist seemed concerned about the lack of p waves on my ecg and is referring me back to specialist. Is this something I should be concerned about.
 John Kenyon, CNA - Sun Apr 15, 2007 1:05 am

User avatar Hello donnalee - Sick sinus syndrome (SSS) often eventually results in sinus arrest, which is one reason for the implantation of a pacemaker. If you had an ablation in conjunction with SSS it was probably to ablate the AV jnode, which would make you pacemaker dependent. If your sinus node has failed and is no longer producing p waves this may well be a moot issue, and since your doctor didn't send you into the hosptial I think this would mean you don't need to be unduly concerned. It may mean, however, a possible adjustment in how the pacemaker should be set for optimum operation. If there was a cause for concern in this regard your cardiologist would have sent you to the hospital rather than home. With the pacemaker working the failed sinus node (if that is the case) could mean that the pacer needs to be set differently than it originally was, but you should not notice any real difference or new symptoms. (With atrial flutter there are far too many p waves anyway, so when something changes, the pacer can be optiimized for that situation).

Please do keep in touch and let us know what you learn.


Check a doctor's response to similar questions


advertisement.gif (61x7 -- 0 bytes)

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application


 advertisement.gif (61x7 -- 0 bytes)



Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us

Copyright © 2001-2016
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Links | Humor
Forum Archive
CME Articles

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.