Right precordial T wave inversion through V2 |
Inverted T wave in Leads V1 and V2 |
Right precordial T wave inversion through V3 10
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Inverted T wave in Leads V1,V2 and V3 |
Right precordial T wave inversion through V4 |
Inverted T wave in Leads V1, V2, V3 and V4 |
T wave inversion in Inferior Leads |
Inverted T waves in 2 out of 3 inferior leads |
Epsilon Wave12
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Distinct waves of small amplitude that occupy the ST segment in the right precordial leads and are distinct from the QRS complex |
QRS prolongation in right precordial leads 10
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QRSd > 110 msec in lead V1,V2, or V3 |
Parietal Block 11
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QRSd in lead V1 to V3 that exceeds the QRSd in Lead V6 by > 25 ms |
Prolonged Terminal activation duration 15
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Longest value in V1–V3 from the nadir of the S wave to the end of all depolarization |
Localized right precordial QRS prolongation (Increased ratio in the QRSd of the right versus left precordial leads) 13,14
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QRS duration:(V1+V2+V3)/(V4+V5+V6)≥ 1.2 with QRSd ≥ 100 msec in 2 of 3 right precordial leads |
Complete RBBB 16
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QRSd ≥ 120 ms and : |
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A1: R’ or r’ in V1 or V2 |
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A2: S duration > R duration in I and V6 |
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A3: S duration > 40 msec in I and V6 |
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A4: R peak time > 50 msec in V1 or V2 |
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a: A1+A2 |
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b: A1+A3 |
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c: A4+ (A2orA3) |
Incomplete RBBB 16
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QRS <120 msec and R peak time in V1 or V2 > 50 msec |
R or r prime in V1/V2 |
A positive deflection in V1/V2 following an S wave |
r'/s ratio in V1 |
Ratio of amplitude of r' and S wave in lead V1 |