Poor R-wave progression

Results:
ECG STAT September 16, 2025
Poor R Wave Progression (PRWP) DDx

Key Points PRWP is a pattern, not a diagnosis. Use clinical context and compare with prior ECGs before acting. Practical definition: R in V3 less than 3 mm or a…

ECG STAT September 1, 2025
R Wave Basics

Key Points Definition: The R wave is the first positive deflection of the QRS complex, reflecting early ventricular depolarization, predominantly of the left ventricle. Normal progression: Precordial R amplitude increases…

Weekly Workout August 19, 2024
Avoiding Misdiagnosis Through Proper Lead Placement

A 40-year-old man with no known medical problems presents with concerns about his cardiac health after a friend recently had an MI. He has no symptoms of acute coronary syndrome…

Weekly Workout July 10, 2023
Differential Diagnoses: poor R wave progression, prolonged QT intervals, and much more

A 53-year-old woman presents to the emergency department with shortness of breath. The following ECG is obtained:

Weekly Workout June 8, 2020
2020 ECG Competition Answers (Part 2/2)

This week we review the answers to the last 6 questions + bonus from the 8th annual UMEM Residency ECG Competition.  Make sure to attempt to answer the questions before clicking…

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