Himalayan P in a Toddler with Idiopathic Restrictive Cardiomyopathy with a Brief Electrocardiographic Review

Although Himalayan P waves are not uncommon in congenital heart diseases involving the tricuspid valve, it is rare in pediatric idiopathic restrictive cardiomyopathy. We are presenting one of the tallest P waves in literature, the Himalayan P in a toddler with idiopathic restrictive cardiomyopathy. Additionally, we reviewed the literature on the value of electrocardiograms in the evaluation of restrictive cardiomyopathy.