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77 Possible Causes for Poor R Wave Progression, T Wave Inversion

  • 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 .[wikidoc.org] wave inversion, suggesting evolved anterior wall myocardial infarction (AWMI).[cardiophile.org] This is a cause of poor R wave progression , or PRWP.[healio.com]

  • Dilated Cardiomyopathy

    Poor R-wave progression with QS complexes in V1-4 (“pseudo-infarction” pattern). Frequent ventricular ectopics and ventricular bigeminy (seen with severe DCM).[lifeinthefastlane.com] Takotsubo cardiomyopathy is characterized by the basal hypercontractility and apical ballooning of the left ventriculum and T-wave inversion in the electrocardiogram.[ncbi.nlm.nih.gov] The main role of ECG is to detect evidence of myocardial ischemia (pathologic Q waves with ST elevation and T wave inversion in leads I, aVL, V 5 , V 6 ) that might point[transplantbuddies.org]

  • 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[wikidoc.org] These feature are suggestive of posterior wall infarction, being the inverse of Q wave, ST elevation and T wave inversion which would have been recorded in a posterior lead[cardiophile.org] ) 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[ecg.utah.edu]

  • 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[sharinginhealth.ca] […] interventricular septal shift on the short-axis view) Electrocardiographic clues such as right axis deviation; rightward axis shift; right bundle branch block; right precordial T-wave[clinicaladvisor.com] […] hearted failure include: increased JVP hepatomegaly return to top Investigations lab investigations diagnostic imaging Lab Investigations Diagnostic Imaging ECG shows: RAD and poor[sharinginhealth.ca]

  • 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[ecg.utah.edu] Diagnostic T-wave inversion was defined as complete T inversion or biphasic waves with initial, predominantly negative deflection.[ncbi.nlm.nih.gov] R wave progression b/c the LV cannot depolarize normally; ST segment elevation and T wave inversion - reciprocal leads, inferior leads II, III and a Vf show tall R waves[quizlet.com]

  • 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[ncbi.nlm.nih.gov] […] with no history of CAD, and frequent T-wave inversion.[aafp.org] Poor R-wave progression with QS complexes in V1-4 (“pseudo-infarction” pattern). Frequent ventricular ectopics and ventricular bigeminy (seen with severe DCM).[lifeinthefastlane.com]

  • 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.[lifeinthefastlane.com] Features may initially be normal but abnormalities include new ST-segment elevation; initially peaked T waves and then T-wave inversion; new Q waves; new conduction defects[patient.info] In NSTEMI, ECG manifestations might include ST-segment depression and/or T-wave inversions - these findings are often transient, and tend to parallel the development of symptoms[clinicaladvisor.com]

  • Left Bundle Branch Block

    ST elevation and poor R-wave progression were improved during LBBB.[ncbi.nlm.nih.gov] The precordial leads in these patients will demonstrate alarmingly deep, symmetrical T-wave inversions.[ncbi.nlm.nih.gov] […] always go in the opposite direction to the main vector of the QRS complex Poor R wave progression in the chest leads Left axis deviation ECG QRS Morphology QRS Morphology[lifeinthefastlane.com]

  • Pulmonary Embolism

    Differently, the prevalence of T- wave inversion was similar in high and intermediate-risk patients.[ncbi.nlm.nih.gov] A 12-lead EKG may show a new onset of a right bundle branch block, T-wave inversion in the anterior leads, or SQ3T3 pattern – a deep S wave in lead 1, along with a Q wave[ems1.com] ECG demonstrates sinus tachycardia, but no ST segment changes or T wave inversion. Which of the following is the next best step in management?[medbullets.com]

  • Paradoxical Embolism

    The electrocardiogram showed sinus rhythm (heart rate 61 bpm), first-degree atrioventricular block, right atrial abnormality, poor R-wave progression in the anterior wall[elsevier.pt] Cardiac enzyme levels were elevated, and an ECG revealed T-wave inversion in leads III, aVF, V1, and V2 with evolving ST-segment elevation in leads V3 through V5.[ncbi.nlm.nih.gov]

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