Rare diseases · Sign or symptom

P pulmonale

HP:0031601

What it means

The presence of tall, peaked P waves in EKG lead II.

P pulomonale may indicate right atrial enlargement, usually due to pulmonary hypertension.

Rare diseases that can present with this1

The range is how often this sign appears among people diagnosed with each disease — it is not a probability of having any of them. Many of these signs also occur in common, non-rare conditions. A sign on this page is a conversation to have with a clinician, not a conclusion.

Part of the broader category

P pulmonale

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This page uses the Human Phenotype Ontology (2026-06-23) — Human Phenotype Ontology Consortium, hpo.jax.org. Disease associations from Orphanet (INSERM), CC BY 4.0. Content is educational and is not medical advice.