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29 Possible Causes for Poor R Wave Progression, Pulmonary Systolic Murmur, Right Axis Deviation

  • Right Ventricular Outflow Obstruction

    Examination revealed an ejection systolic murmur in the pulmonary area. The electrocardiogram showed complete heart block.[] On examination there was a systolic thrill and a loud ejection murmur in the pulmonary area.[] Statistics from A 27 year old banker was referred by his general practitioner with constitutional symptoms and a murmur.[]

  • Eisenmenger Syndrome

    Diagnostic methods Diagnosis is based on the clinical features, pulse oximetry findings, an abnormal electrocardiogram (right axis deviation, right ventricular hypertrophy[] Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[] Ejection systolic murmur audible along the left sternal border.[]

  • 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[] Right axis deviation and low voltage may be noted in patients with pulmonary emphysema.[] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[]

  • 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.[] deviation and those who had right-axis deviation.[] Diagnosis is made by detection of a new systolic murmur, and by the documentation of giant "V-waves" on the pulmonary capillary wedge tracing.[]

  • Pulmonary Embolism

    P pulmonale, right and left axis deviation, S 1 S 2 S 3 and S 1 Q 3 T 3 patterns, low voltage and clockwise rotation were specific, but not sensitive for APE.[] Signs of pulmonary hypertension, such as palpable impulse over the second left intercostal space, loud P 2, right ventricular S 3 gallop, and a systolic murmur louder on inspiration[] axis deviation, right bundle branch block (RBBB), or deep S-waves in I with Q waves in III and inverted T waves in III ('S1,Q3,T3' pattern).[]

  • Acute Cor Pulmonale

    Other ECG findings in PE include right bundle-branch block, right axis deviation, atrial fibrillation, and T-wave changes ( 2, 3 ).[] Split second heart sound with loud pulmonary component. Systolic ejection murmur with a sharp ejection click over the pulmonary artery (advanced sign).[] […] and pulmonic insufficiency murmurs, and later, distended jugular veins, hepatomegaly, and lower-extremity edema.[]

  • Lateral Wall Myocardial Infarction

    EKG Examples Shown below is an EKG demonstrating sinus rhythm and a QRS with a rightward axis, as well as wide Q waves in leads I and aVL as well as a poor R wave progression[] If the QRS is negative in Lead I, the heart is pointing more to the right than normal; hence, Right Axis Deviation.[] The patient is usually hypotensive, in acute pulmonary oedema with a new systolic murmur present.[]

  • Congenital Pericardium Anomaly

    Her electrocardiogram showed poor R wave progression. Postero-anterior chest -X ray showed cardiac levoposition with borderline cardiac size (Figure1).[] In other cases the ECG may show typical findings such as right axis deviation, incomplete or complete right bundle branch block and poor R‐wave progression due to clockwise[] Electrocardiography (ECG) in this supine position ( Figure C ) showed right axis deviation, poor R wave progression and leftward displacement of the transition zone (arrowheads[]

  • Biventricular Hypertrophy

    R wave progression across the precordium causing a pseudoinfarction pattern mimicking an anteroseptal infarction.[] In the presence of LVH – Additional signs indicating RVH : Right atrial enlargement. Right axis deviation. Tall biphasic QRS complexes in multiple leads.[] VSD murmurs vary in intensity based on their size. Small to moderate resistive systolic murmurs may be louder than large non-resistive systolic murmurs.[]

  • Right Ventricular Hypertrophy

    Figure 3 shows atrial fibrillation, poor R wave progression, and diffuse ST-segment abnormalities in an ECG from a patient with ischemic cardiomyopathy.[] Example 4 Right ventricular hypertrophy in a patient with arrhythmogenic right ventricular cardiomyopathy (ARVC): Right axis deviation.[] On auscultation, an accentuated second pulmonary sound (S2), a third heart sound termed a ‘right ventricular gallop’, as well as a systolic murmur over the tricuspid area[]