Poor r wave progression causes

Hello. As a normal procedure I have an ECG done yearly to monitor my heart due to a successful catherer ablation done in 2001.....I have never had episodes of palpitations!Thank God!! My family doctor just did a ECG and the results were the following SINUS RHYTHM Poor R Wave Progression V2-V4 PROBABLE NORMAL VARIANT BORDERLINE ECG He saidthe ECG showed nothing to be concerned about.....but the word "borderline" and poor R waves puzzled me!!! Please advise me as your opinion is very important to me. Thank you. Shanti Dear Doctor, I went for a complete blood test on 10.10.2008 and found that the C Reactive Protein showed my result to be 8. Today I went for a review test, that after a lapse of 1 month and the level has dwindled to 6. The Pathologist told me that I am at a high risk of a Heart Attack as the level should be 2 and below. This worries me. Could you please advice. Thank you. Radika - Malaysia. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional quali...

WikiDoc Resources for Poor R Wave Progression Articles Media Evidence Based Medicine Clinical Trials Guidelines / Policies / Govt Books News Commentary Definitions Patient Resources / Community Healthcare Provider Resources Continuing Medical Education (CME) International Business Experimental / Informatics Editor-In-Chief: Synonyms and keywords: PRWP; poor R wave transition; delayed R wave transition; delayed transition; loss of R wave progression; loss of R waves Contents • 1 Overview • 2 Definition • 3 Causes • 4 EKG Examples • 5 References Overview Poor Definition The definition of poor R wave progression (PRWP) varies in the literature, but a common one is when the R wave is less than 2–4mm in leads V 3 or V 4 and/or there is presence of a reversed R wave progression, which is defined as R in V 4< R in V 3 or R in V 3< R in V 2 or R in V 2< R in V 1, or any combination of these. Causes Poor R wave progression can be observed in the following settings: • Faulty ECG recording technique • • • Right and left • EKG Examples The EKG below shows sinus bradycardia at 47/min and

Dear Sirs my EKG says poor R wave progression borderline I was rushed to and echocardiogram which came out totally normal. my dr says its age related changes im 61 never had a problem what can I believe 146 rate 76 qt 372 qtch 400 qrsd 86 pqrst 56/69/58 degree no one answers me they say don’t worry I am very nervous the tech ewas doing it wrong he made her do it again he says it came out the same twice.

The most common cause of a dominant R wave in aVR is incorrect limb lead placement, with reversal of the left and right arm electrodes. This produces a similar pattern to dextrocardia in the limb leads but with normal R-wave progression in the chest leads. With LA/RA lead reversal: • Lead I becomes inverted • Leads aVR and aVL switch places • Leads II and III switch places

Dear Sirs my EKG says poor R wave progression borderline I was rushed to and echocardiogram which came out totally normal. my dr says its age related changes im 61 never had a problem what can I believe 146 rate 76 qt 372 qtch 400 qrsd 86 pqrst 56/69/58 degree no one answers me they say don’t worry I am very nervous the tech ewas doing it wrong he made her do it again he says it came out the same twice.

WikiDoc Resources for Poor R Wave Progression Articles Media Evidence Based Medicine Clinical Trials Guidelines / Policies / Govt Books News Commentary Definitions Patient Resources / Community Healthcare Provider Resources Continuing Medical Education (CME) International Business Experimental / Informatics Editor-In-Chief: Synonyms and keywords: PRWP; poor R wave transition; delayed R wave transition; delayed transition; loss of R wave progression; loss of R waves Contents • 1 Overview • 2 Definition • 3 Causes • 4 EKG Examples • 5 References Overview Poor Definition The definition of poor R wave progression (PRWP) varies in the literature, but a common one is when the R wave is less than 2–4mm in leads V 3 or V 4 and/or there is presence of a reversed R wave progression, which is defined as R in V 4< R in V 3 or R in V 3< R in V 2 or R in V 2< R in V 1, or any combination of these. Causes Poor R wave progression can be observed in the following settings: • Faulty ECG recording technique • • • Right and left • EKG Examples The EKG below shows sinus bradycardia at 47/min and

Hello. As a normal procedure I have an ECG done yearly to monitor my heart due to a successful catherer ablation done in 2001.....I have never had episodes of palpitations!Thank God!! My family doctor just did a ECG and the results were the following SINUS RHYTHM Poor R Wave Progression V2-V4 PROBABLE NORMAL VARIANT BORDERLINE ECG He saidthe ECG showed nothing to be concerned about.....but the word "borderline" and poor R waves puzzled me!!! Please advise me as your opinion is very important to me. Thank you. Shanti Dear Doctor, I went for a complete blood test on 10.10.2008 and found that the C Reactive Protein showed my result to be 8. Today I went for a review test, that after a lapse of 1 month and the level has dwindled to 6. The Pathologist told me that I am at a high risk of a Heart Attack as the level should be 2 and below. This worries me. Could you please advice. Thank you. Radika - Malaysia. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional quali...

The most common cause of a dominant R wave in aVR is incorrect limb lead placement, with reversal of the left and right arm electrodes. This produces a similar pattern to dextrocardia in the limb leads but with normal R-wave progression in the chest leads. With LA/RA lead reversal: • Lead I becomes inverted • Leads aVR and aVL switch places • Leads II and III switch places Advanced Reading Online • Wiesbauer F, Kühn P. – Become an ECG expert . Medmastery • Wiesbauer F, Kühn P. • Rawshani A. • Smith SW. Textbooks • Mattu A, Tabas JA, Brady WJ. • Brady WJ, Lipinski MJ et al. • Straus DG, Schocken DD. • Hampton J. • Grauer K. • Brady WJ, Truwit JD. • Surawicz B, Knilans T. • Mattu A, Brady W. • Chan TC. • Smith SW.

Dear Sirs my EKG says poor R wave progression borderline I was rushed to and echocardiogram which came out totally normal. my dr says its age related changes im 61 never had a problem what can I believe 146 rate 76 qt 372 qtch 400 qrsd 86 pqrst 56/69/58 degree no one answers me they say don’t worry I am very nervous the tech ewas doing it wrong he made her do it again he says it came out the same twice.

WikiDoc Resources for Poor R Wave Progression Articles Media Evidence Based Medicine Clinical Trials Guidelines / Policies / Govt Books News Commentary Definitions Patient Resources / Community Healthcare Provider Resources Continuing Medical Education (CME) International Business Experimental / Informatics Editor-In-Chief: Synonyms and keywords: PRWP; poor R wave transition; delayed R wave transition; delayed transition; loss of R wave progression; loss of R waves Contents • 1 Overview • 2 Definition • 3 Causes • 4 EKG Examples • 5 References Overview Poor Definition The definition of poor R wave progression (PRWP) varies in the literature, but a common one is when the R wave is less than 2–4mm in leads V 3 or V 4 and/or there is presence of a reversed R wave progression, which is defined as R in V 4< R in V 3 or R in V 3< R in V 2 or R in V 2< R in V 1, or any combination of these. Causes Poor R wave progression can be observed in the following settings: • Faulty ECG recording technique • • • Right and left • EKG Examples The EKG below shows sinus bradycardia at 47/min and