PMID- 6212033 OWN - NLM STAT- MEDLINE DCOM- 19820807 LR - 20041117 IS - 0003-9926 (Print) IS - 0003-9926 (Linking) VI - 142 IP - 6 DP - 1982 Jun TI - ECG poor R-wave progression: review and synthesis. PG - 1145-8 AB - Poor R-wave progression is a common ECG finding that is often inconclusively interpreted as suggestive, but not diagnostic, of anterior myocardial infarction (AMI). Recent studies have shown that poor R-wave progression has the following four distinct major causes: AMI, left ventricular hypertrophy, right ventricular hypertrophy, and a variant of normal with diminished anterior forces. Standard ECG criteria that identify and distinguish these causes have been developed. An interpretive approach to the ECG with poor R-wave progression is presented that has clinical relevance in the daily treatment of patients. FAU - Zema, M J AU - Zema MJ FAU - Kligfield, P AU - Kligfield P LA - eng PT - Journal Article PL - United States TA - Arch Intern Med JT - Archives of internal medicine JID - 0372440 SB - IM MH - Angiography MH - Cardiomegaly/physiopathology MH - Cardiomyopathies/diagnosis/pathology MH - *Electrocardiography/methods MH - Heart Ventricles/physiopathology MH - Humans MH - Myocardial Infarction/*diagnosis EDAT- 1982/06/01 00:00 MHDA- 1982/06/01 00:01 CRDT- 1982/06/01 00:00 PHST- 1982/06/01 00:00 [pubmed] PHST- 1982/06/01 00:01 [medline] PHST- 1982/06/01 00:00 [entrez] PST - ppublish SO - Arch Intern Med. 1982 Jun;142(6):1145-8.