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112 Possible Causes for Chest Pain, Poor R Wave Progression

  • 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 .[] ; anterior myocardial infarction without any chest pain was coincidentally detected.[] This is a cause of poor R wave progression , or PRWP.[]

  • Pulmonary Embolism

    The chest pain remained at the same level.[] The differential diagnosis of acute chest pain is very important, and can sometimes be challenging.[] Herein, we report a case of high-risk APE with a wide range of manifestations, including chest pain, dyspnea, low-blood pressure, and syncope.[]

  • Myocardial Infarction

    Biphasic/inverted T waves in V1-5. Poor R wave progression (R wave height 3mm in V3). Abnormal Q waves and T-wave inversion in I and aVL.[] For diagnosing AMI from ACS patients, MPO was the most efficient marker than others markers with efficiency 82.5% within 0-6 hr after the onset time of chest pain.[] The chest pain may be mild or severe. The characteristics of chest pain can be explained as follows: Feeling of tight band that surrounds the chest.[]

  • Acute Pericarditis

    R wave voltage: Poor R wave progression may be a finding in STEMI but is not a characteristic in Acute Pericarditis 1 .[] Medical questions & health advice by board certified doctors Zocdoc › Answers › Do I have acute pericarditis or musculoskeletal chest pain?[] Chest pain subsided within the day of admission followed by T-wave inversion on electrocardiogram.[]

  • Cardiac Amyloidosis

    ECG showed sinus rhythm with low voltage and poor R wave progression in the anterior leads.[] The usual cardiac symptoms noted in patients with amyloidosis include dyspnea, peripheral edema, and palpitations secondary to arrhythmias.(1) Chest pain secondary to myocardial[] A CMR was requested to further assess left ventricular hypertrophy, as well as the origin of the chest pain.[]

  • Pneumothorax

    Shortly thereafter, she was admitted to the hospital with chest pain and required chest drain insertion.[] Patients with this condition usually present with chest pain and dyspnoea, and the presentation can mimic acute coronary syndrome.[] […] serious causes of chest pain.[]

  • 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[] The typical symptoms of stress cardiomyopathy include sudden-onset chest pain and breathlessness or collapse as well as classical symptoms of cardiovascular disease; however[] Poor R-wave progression with QS complexes in V1-4 (“pseudo-infarction” pattern). Frequent ventricular ectopics and ventricular bigeminy (seen with severe DCM).[]

  • Tension Pneumothorax

    Initial electrocardiography (ECG) showed poor R-wave progression of precordial leads with elevation of troponin I.[] A 13-year-old girl was referred by her general practitioner with acute worsening exertional dyspnoea and sudden onset of left-sided chest pain.[] Unexplained chest pain, dyspnoea, and oxygen desaturation with abdominal distension during ERCP must raise this possibility.[]

  • 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[] Thirty-six to 72 hours after the onset of chest pain a 99mtechnetium pyrophosphate scintigraphy and a dynamic flow study were performed to detect right ventricular involvement[] Chest pain is widely described as the predominant finding in the setting of a myocardial infarction and is present in virtually all patients.[]

  • Pulmonary Infarction

    Q waves in inferior leads, right axis deviation, and poor R wave progression in frontal leads were seen in the electrocardiogram.[] A young black man presented with unexplained pleuritic chest pain.[] Hemoptysis, chest pain and dyspnea were present. Chest film simulated a thin wall lung abscess.[]

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