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80 Possible Causes for Cardiac Signs and Symptoms, Poor R Wave Progression

  • Cor Pulmonale

    R wave progression RAE with and RVH multifocal atrial tachycardia return to top Differential Diagnosis return to top Treatments Consequences and Course return to top The[] Patients present with signs and symptoms of right ventricular dysfunction and low cardiac output including dyspnea, chest pain and peripheral edema.[] […] of clinical symptoms (dyspnea and fatigue) and signs ( edema and rales) that lead to frequent hospitalizations, a poor quality of life, and a shortened life expectancy.[]

  • Anterior Myocardial Infarction

    The remarkable feature is the poor R wave progression in the V1 and V2 leads and the ST elevation and T wave changes in leads V1 to V4 and I and aVL .[] Some people have no symptoms; for others, the first sign may be sudden cardiac arrest.[] This is a cause of poor R wave progression , or PRWP.[]

  • Infiltrative Cardiomyopathy

    The electrocardiogram showed normal sinus rhythm, QS waves in the inferior leads, poor R progression in the precordial leads and T-wave inversion in I and aVL ( Figure 1 )[] […] biomarker elevation suggestive of myopericarditis; or when a patient presents with clinical signs and symptoms of an acute MI and a normal coronary angiogram.[] Sinus tachycardia at 112 bpm, frequent premature ventricular contractions and 1.0 mm ST depression in V6, left axis deviation, left atrial enlargement, poor R-wave progression[]

  • Right Ventricular Dilatation

    Figure 3 shows atrial fibrillation, poor R wave progression, and diffuse ST-segment abnormalities in an ECG from a patient with ischemic cardiomyopathy.[] Signs Cardiac arrest Peripheral edema Sudden death Tachycardia TABLE 1 Signs and Symptoms of ARVD Symptoms Abdominal pain Decreased exercise tolerance Dizziness Dyspnea ([] Signs and Symptoms of ARVD Symptoms Abdominal pain Decreased exercise tolerance Dizziness Dyspnea (especially with exertion) Fatigue Mental confusion Palpitations Syncope[]

  • Right Ventricular Outflow Obstruction

    The absence of many of the classic signs and symptoms of pericardial tamponade is noted, as is the possibility of unusual changes in the appearance or function of the heart[] The importance of a low, fixed cardiac output and nonspecific physical findings in suggesting the clinical diagnosis is emphasized.[]

  • Cardiac Amyloidosis

    ECG showed sinus rhythm with low voltage and poor R wave progression in the anterior leads.[] Cardiac amyloidosis is an archetypal example of restrictive cardiomyopathy, with signs and symptoms of global heart failure and diastolic dysfunction.[] The diagnosis of cardiac amyloidosis is often delayed because of nonspecific signs and symptoms.[]

  • Recurrent Pulmonary Embolism

    Symptoms Severe central chest pain (cardiac ischaemia due to decreased coronary blood flow) Shocked, pale, sweaty Syncope (reduced cardiac output) Signs Shock Tachypnoeic[] Symptoms Pleuritic chest pain Breathlessness Haemoptysis (30%) Fever Signs Tachypnoeic Localised pleural rub Coarse crackles Pleural effusion Massive Pulmonary Embolism Rare[] Symptoms Gradual breathlessness (over weeks - months) Weakness Syncope on exertion Angina Signs Right ventricular overload Right ventricular heave Loud pulmonary second sound[]

  • Acute Pericarditis

    R wave voltage: Poor R wave progression may be a finding in STEMI but is not a characteristic in Acute Pericarditis 1 .[] Identify signs and symptoms of sudden cardiac death, heart failure, and acute pericarditis.[] […] output. 18,19 Signs and Symptoms Symptoms Symptoms resulting from decreased cardiac output and congestion include dyspnea, chest discomfort, weakness, restlessness, agitation[]

  • Inferior Wall Myocardial Infarction

    ) LVH (may have QS pattern or poor R wave progression in leads V1-3) RVH (tall R waves in V1 or V2 may mimic true posterior MI) Complete or incomplete LBBB (QS waves or poor[] Unless the infarction is massive, signs and symptoms of CHF generally do not occur until a few days after the infarction.[] Signs and symptoms The risk of death from an anterior-wall MI is greatest in the first 24 to 48 hours after symptoms begin, so early diagnosis and treatment are critical to[]

  • Cardiomyopathy

    Electrocardiogram showed right axis deviation, poor R-wave progression, and diffuse ST-segment elevation in the anterior leads, and cardiomegaly was observed by roentgenogram[] Like HCM, it can cause sudden cardiac arrest in young athletes. What are the signs and symptoms? Some people who have cardiomyopathy never have signs or symptoms.[] Poor R-wave progression with QS complexes in V1-4 (“pseudo-infarction” pattern). Frequent ventricular ectopics and ventricular bigeminy (seen with severe DCM).[]

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