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What does poor r wave progression in ecg mean?

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What does "Poor R-wave progression in ECG mean?
Posted Thu, 11 Apr 2013 in Hypertension and Heart Disease
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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