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Collection of a few ECGs in congenital heart diseases

All About Cardiovascular System and Disorders

The sign has been described in VSD with biventricular hypertrophy in children. It can be seen with isolated VSD as well as complex ventricular septal defect. In fact the Circulation article cited is on Complete Transposition of the Great Vessels. Himalayan P waves are also described in tricuspid atresia.