{"id":9363,"date":"2017-10-24T04:37:52","date_gmt":"2017-10-23T23:07:52","guid":{"rendered":"http:\/\/www.cardiophile.org\/common\/?p=8336"},"modified":"2024-07-06T10:51:35","modified_gmt":"2024-07-06T05:21:35","slug":"what-is-tp-segment-on-the-ecg","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/what-is-tp-segment-on-the-ecg\/","title":{"rendered":"What is TP segment on the ECG?"},"content":{"rendered":"<h1><span style=\"color: #008000;\">What is TP segment on the ECG?<\/span><\/h1>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/dtpcSXu24wg\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-22326 aligncenter\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2012\/06\/TP-Segment.png\" alt=\"\" width=\"612\" height=\"362\" \/><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #0000ff;\"><strong><em>TP segment on electrocardiogram (enlarged view)<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #0000ff;\">TP segment is the isoelectric interval on the electrocardiogram<\/span>. It is the region between the end of the T wave and the next P wave. It represents the time when the heart muscle cells are electrically silent. TP interval shortens when the heart rate increases and vice versa.\u00a0Ideally, elevation and depression of ST segment and PR segment are measured with reference to the TP segment. But when the heart rhythm is fast, a good TP segment may not be seen as the T wave of one cycle merges with the P wave of the succeeding cycle. This often occurs in the setting of an exercise test and in such situation, the E point which is at the beginning of the QRS complex can be taken as the reference.<\/p>\n<p><strong><span style=\"color: #0000ff;\">Spodick\u2019s sign<\/span><\/strong><\/p>\n<p><span style=\"color: #0000ff;\">Spodick\u2019s sign is downsloping TP segment seen in stage I of acute pericarditis<\/span> [1,2]. It is best seen in lead II\u00a0 and lateral leads. It has been mentioned that it can be seen in about 80% of cases of acute pericarditis. A good demonstration of Spodick\u2019s sign is available in the article by Chaubey VK et al [3]. They also quoted another article which had shown resolution of the Spodick\u2019s sign in leads II, V4-V6 after treatment with non steroidal anti-inflammatory agents [4]. Interestingly, authors of the cited article did not specifically mention about the sign. Spodick\u2019s sign is thought to be useful in differentiating acute coronary syndrome from acute pericarditis. In both conditions PR segment depression may be noted, but presence of Spodick&#8217;s sign will favour acute pericarditis [3,5].<\/p>\n<p><strong><span style=\"color: #0000ff;\">References<\/span><\/strong><\/p>\n<ol>\n<li>Spodick DH.\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/4818046\">Electrocardiogram in acute pericarditis. Distributions of morphologic and axial changes by stages<\/a>.\u00a0Am J Cardiol. 1974 Apr;33(4):470-4.<\/li>\n<li>Makaryus JN, Makaryus AN, Boal B.\u00a0Spodick&#8217;s sign.\u00a0Am J Med. 2008 Aug;121(8):693-4.<\/li>\n<li>Chaubey VK, Chhabra L.<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24626086\">\u00a0Spodick&#8217;s sign: a helpful electrocardiographic clue to the diagnosis of acute pericarditis<\/a>.\u00a0Perm J. 2014 Winter;18(1):e122. (Free Full Text at Pubmed Central).<\/li>\n<li>Masek KP, Levis JT.\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24361030\">ECG diagnosis: acute pericarditis<\/a>.\u00a0Perm J. 2013 Fall;17(4):e146. (Free Full Text at Pubmed Central).<\/li>\n<li>Chhabra L, Spodick DH.\u00a0Ideal isoelectric reference segment in pericarditis: a suggested approach to a commonly prevailing clinical misconception.\u00a0Cardiology. 2012; 122(4):210-2.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>TP segment is the isoelectric interval on the electrocardiogram (ECG). It is the region between the end of the T wave and the next P wave.<\/p>\n","protected":false},"author":1,"featured_media":63646,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[11],"tags":[1211,3654],"class_list":["post-9363","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-heart-disease-faq","tag-downsloping-tp-segment-in-pericarditis","tag-spodicks-sign"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What is TP segment on the ECG? - From end of T wave to next P wave<\/title>\n<meta name=\"description\" content=\"TP segment is the isoelectric interval on the electrocardiogram (ECG). 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