Lazovic, Biljana (36647776000)Biljana (36647776000)LazovicMazic, Sanja (6508115084)Sanja (6508115084)MazicStajic, Zoran (24170215000)Zoran (24170215000)StajicDjelic, Marina (36016384600)Marina (36016384600)DjelicZlatkovic-Svenda, Mirjana (16067770800)Mirjana (16067770800)Zlatkovic-SvendaPutnikovic, Biljana (6602601858)Biljana (6602601858)Putnikovic2025-06-122025-06-122013https://doi.org/10.5455/aim.2013.21.127-128https://www.scopus.com/inward/record.uri?eid=2-s2.0-84877908340&doi=10.5455%2faim.2013.21.127-128&partnerID=40&md5=af2e0ebb356e502a459d46a1f0ec6b23https://remedy.med.bg.ac.rs/handle/123456789/9284Introduction: P-wave abnormalities on the resting electrocardiogram have been associated with cardiovascular or pulmonary disease. So far, "Gothic" P wave and verticalization of the frontal plane axis is related to lung disease, particularly obstructive lung disease. Aim: We tested if inverted P wave in AVl as a lone criteria of P wave axis >70o could be screening tool for emphysema. Material and method: 1095 routine electrocardiograms (ECGs) were reviewed which yielded 478 (82,1%) ECGs with vertical P-axis in sinus rhythm. Charts were reviewed for the diagnosis of COPD and emphysema based on medical history and pulmonary function tests. Conclusion: Electrocardiogram is very effective screening tool not only in cardiovascular field but in chronic obstructive pulmonary disease. The verticality of the P axis is usually immediately apparent, making electrocardiogram rapid screening test for emphysema. © AVICENA 2013.EcgEmphysemaInverted P wave