Poor-R-wave-progression
(Am Heart J 2004;148:80)
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Definition: loss of anterior forces w/o frank Q waves (V1–V3); R wave in V3 ≤3 mm
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Etiologies: old anteroseptal MI (w/ R wave V3 ≤1.5 mm, ± persistent ST ↑ or TWI V2 & V3)
LVH (delayed RWP w/ ↑ left precordial voltage); RVH; COPD (may also have RAA, RAD, limb lead QRS amplitude ≤5 mm, SISIISIII w/ R/S ratio <1 in those leads)
LBBB; WPW; clockwise rotation of the heart; lead misplacement; CMP; PTX
名詞解釋: concordance 一致