Exam

R Wave

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R Wave, R Wave Progression, Poor R Progression

  • Causes
  • Tall R Wave in Lead V1
  • Evaluation
  • R Wave Progression
  1. Normal
    1. R Waves gradually increase in size from minimal to absent in lead V1 to full length of QRS in lead V6
    2. R Wave should be at least 3 mm in lead V3
    3. R Wave should be longer than the S wave in lead V4
  2. Poor R Wave Progression
    1. R Wave <3 mm in lead V3