Clinical significance of reversed R wave progression in right precordial leads

Hiroki Isono; Shigeyuki Watanabe; Chieko Sumiya; Masahiro Toyama; Eiji Ojima; Shunsuke Maruta; Yuta Oishi; Junya Honda; Yasuhisa Kuroda

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Clinical significance of reversed R wave progression in right precordial leads

VernacularTitle:Clinical significance of reversed R wave progression in right precordial leads
Author: Hiroki ISONO ¹ ; Shigeyuki WATANABE ² ; Chieko SUMIYA ² ; Masahiro TOYAMA ² ; Eiji OJIMA ² ; Shunsuke MARUTA ² ; Yuta OISHI ² ; Junya HONDA ² ; Yasuhisa KURODA ²
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1. Department of Primary Care and Medical Education, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan
2. Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan
Keywords: poor R wave progression; myocardial infarction; ischemic heart disease; electrocardiogram
From:Journal of Rural Medicine 2019;14(1):42-47
CountryJapan
Language:English
Abstract: Objective: Poor R wave progression in right precordial leads is a relatively common electrocardiogram (ECG) finding that indicates possible prior anterior myocardial infarction (MI); however, it is observed frequently in apparently normal individuals. In contrast, reversed R wave progression (RRWP) may be more specific to cardiac disorders; however, the significance of RRWP in daily clinical practice is unknown. The purpose of this study was to clarify the significance of RRWP in clinical practice.Materials and Methods: We analyzed consecutive ECGs obtained from 12,139 patients aged ≥20 years at Mito Kyodo General Hospital in Ibaraki between November 2009 and August 2012. Our setting is a secondary emergency hospital in the community, and the study participants were inpatients or patients who visited the general or emergency outpatient departments. RRWP was defined as RV2 < RV1, RV3 < RV2, or RV4 < RV3. Regarding ECGs considered to show RRWP, we confirmed the presence or absence of an abnormal Q wave and whether ultrasound cardiography, contrast-enhanced computed tomography, coronary angiography, and/or left ventriculography were performed to obtain detailed information.Results: RRWP was identified in 34 patients (0.3%). Among these patients, 29 (85%) had undergone cardiac evaluation. The final diagnosis was previous anterior MI in 12 patients (41%) and ischemic heart disease (IHD) without MI in 5 patients (17%). All 17 patients with IHD had left anterior descending (LAD) artery stenosis. The other patients were diagnosed with dilated (two patients, 7%) and hypertrophic (one patient, 3%) cardiomyopathy, left ventricular hypertrophy (one patient, 3%), or pulmonary embolism (one patient, 3%). Only seven patients (24%) were normal.Conclusions: RRWP is rare in daily clinical practice; however, it is a highly indicative marker for cardiac disease, particularly IHD with LAD artery stenosis.