?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Himalayan+P+waves+in+COPD+-+A+Rare+Feature&rft.creator=Kumar+SS%2C+S&rft.creator=Babu%2C+SNM&rft.creator=Mahajan%2C+SK&rft.creator=Kaushik%2C+M&rft.creator=Verma%2C+BS&rft.creator=Kaushal%2C+SS&rft.subject=Online+Journal+of+Health+and+Allied+Sciences&rft.description=Himalayan+or+giant+P-waves+(amplitude+%3D5+mm)+are+often+known+to+be+classically+associated+with+congenital+heart+diseases+with+right+to+left+shunt+like+tricuspid+atresia%2C+Ebstein+anomaly%2C+combined+tricuspid+and+pulmonic+stenosis%2C+etc%2C+where+they+indicate+a+dilated+right+atrium+and+tend+to+be+persistent.+These+type+P+waves+are+rarely+seen+in+chronic+obstructive+pulmonary+disease+(COPD)+and+in+this+condition+it+may+be+due+to+structural+right+atrial+changes+or+hypoxemia+or+combination+of+both.+Here+we+report+a+case+of+COPD+with+Himalayan+P+waves+which+is+a+rare+entity.&rft.publisher=Kakkilaya+BS&rft.contributor=Kakkilaya%2C+Dr+Srinivas&rft.date=2014-02-20&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F9720%2F1%2F2013-4-13.pdf&rft.identifier=++Kumar+SS%2C+S+and+Babu%2C+SNM+and+Mahajan%2C+SK+and+Kaushik%2C+M+and+Verma%2C+BS+and+Kaushal%2C+SS++(2014)+Himalayan+P+waves+in+COPD+-+A+Rare+Feature.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F9720%2F