Poor R Wave Progression

Definition

R wave height ≤ 3 mm in V3.

Causes

ECG Examples

Example 1

  • Poor R wave progression secondary to prior anteroseptal MI

 

Example 2

Leads V1 and V3 reversed

  • Poor R wave progression due to electrode misplacement (leads V1 and V3 reversed)

Further Reading

Author Credits

References

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Comments

  1. says

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    if my ecg done in a PCP office showed poor r-wave progression and because of this the cardiologist has recommended a very expensive nuclear stress test, pending my surgery. Is that test medically necessary

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