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. 2019 Apr;16(4):362–377. doi: 10.11909/j.issn.1671-5411.2019.04.008

Table 6. ECG features VA arising from RVOT and LVOT.

Location of VA BBB Axis Precordial transition I V1 V6 Other features
RVOT
 Anteroseptal LBBB Inferior ≤ V3 rS rS R Negative, isoelectric, or multiphasic I
 Posterior, free Wall LBBB Inferior ≥ V3 R rS R Positive I, broad late notched inferior leads
LVOT
 Supravalvular
  LCC LBBB Inferior ≤ V2 rS rS, RS R QS or RS in lead I; notched M or W in V1
  RCC LBBB Inferior ≤ V3 R rS, RS R Broad R in V2
  LCC/RCC junction LBBB Inferior V3 R/Rsr' qrS R Notched on the downward deflection or W pattern in V1
Infravalvular
 AMC RBBB Inferior Positive concordance R/Rs qR R No S in V6
 Septal-para-Hisian LBBB Left inferior Early Rs QS, Qr Rs QS amplitude lead II/III ratio > 1
 Anterior interventricular great cardiac vein junction LBBB Inferior Early rS rS, QS R Precordial pattern break, MDI > 0.55

With modifications from Della Rocca, et al.[18] AMC: aortomitral cotinuity; BBB: bundle branch block; ECG: electrocardiogram; LBBB: left bundle branch block; LCC: left coranary cusp; LVOT: left ventricular outflow tract; MDI: maximum deflection index; RBBB: right bundle branch block; RCC: right coronary cusp; RVOT: right ventricular outflow tract; VA: ventricular arrhythmia.