RT Book, Section A1 Huis in ‘t Veld, Maite A. A1 Mattu, Amal A1 Thurman, R. Jason A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181052713 T1 Left Atrial Hypertrophy T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181052713 RD 2024/04/23 AB Increased duration (width) of the P wave without affecting its upward amplitude (as commonly seen with right atrial abnormalities)Negative P-wave deflection in lead V1, with width and depth > 40 msBifid P wave in lead II with total P duration > 110 ms and > 40 ms between two peaksNotched P wave in II, III, or aVF with duration ≥ 120 ms