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What Does Poor R Wave Progression In Ecg Mean?

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Posted on Fri, 12 Apr 2013
Question: What does "Poor R-wave progression in ECG mean?
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Answered by Dr. Anantharamakrishnan (33 minutes later)
Hi friend,
Welcome to Health Care Magic

R wave is the upright wave in ECG. Usually, it increases in height from the right to left chest leads - V1 to V6. If its height is more on right leads than the left / or less than 4 mm in mid-pre-cordial leads (V3 & V4), it is called poor R wave progression.

The usual causes are wrong placement of the chest lead / conduction defect like Bundle Branch Block / bypass tracts / ventricular enlargement / heart attack involving the anterior portions / congenital heart disease / and so on.

It is a technical jargon for analysis by the doctor! Also, the ECG has to be interpreted in relation to the total clinical picture / not as individual entity. Further evaluation by blood test, ECHOcardiography and so on may be required...

Take care
Wishing speedy recovery
God bless
Good luck
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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What Does Poor R Wave Progression In Ecg Mean?

Hi friend,
Welcome to Health Care Magic

R wave is the upright wave in ECG. Usually, it increases in height from the right to left chest leads - V1 to V6. If its height is more on right leads than the left / or less than 4 mm in mid-pre-cordial leads (V3 & V4), it is called poor R wave progression.

The usual causes are wrong placement of the chest lead / conduction defect like Bundle Branch Block / bypass tracts / ventricular enlargement / heart attack involving the anterior portions / congenital heart disease / and so on.

It is a technical jargon for analysis by the doctor! Also, the ECG has to be interpreted in relation to the total clinical picture / not as individual entity. Further evaluation by blood test, ECHOcardiography and so on may be required...

Take care
Wishing speedy recovery
God bless
Good luck