Tall P waves associated with severe hypokalemia and combined electrolyte depletion.

A 32-year-old woman with anorexia nervosa showing tall P waves on electrocardiogram (ECG) was reported. Her ECG showed tall P waves (5.5mm in voltage, lead II) at 2.2mEq/L of serum potassium. After the treatment, P waves decreased in voltage with the normalization of serum potassium. Tall P waves may be considered to be the so-called pseudo-P pulmonale, and added to the criteria of hypokalemia on ECG.