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Heart Disease  (Expert Forum)
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A Question About Poor R waves
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve, Pacemaker, PAD, Stenosis, Stress Tests

A Question About Poor R waves

by Chassy, Jun 10, 2001 12:00AM
Hi, I was just wondering about something, I never had any knowledge or symptoms of any heart trouble, I do have recurrent TIA's for about 3 years, also peripheral polyneuropathy probable cause is B-12 defiecient. In Sep. of last year I went in for surgery to have a discectomy at C3-5 levels with hip bone graft and titanium plate. We all know they do all the pre-op work, Well I just requested my hospital records and found out that my EKG was abnormal, it says Poor R wave progression V2-V4 Summary abnormal, unconfirmed analysis. Possible old anterior infarction.

I have no clue what this means and also no clue as to why I was not informed of this. I am a 41 year old female. I am trying to figure out is there something wrong with my heart or could I have possibly had a mild heart attack and didn't know it. I did have an echo study of my heart after my first TIA that showed mild tricupsalar regurgitation. I am also curious if a TIA stroke could of possibly caused this? Thanks in advance in any information that may help me, till I see my family doctor.

Thank you,

Chassy

by CCF-M.D.-CRC, Jun 11, 2001 12:00AM
Dear Chassy,

R-wave progression is a technical term to describe the transition of the electrical tracings of the heart across the wall of teh chest.  "Poor" R-wave progression may be due to a variety of different things including previous heart attack.  Given your story I think this would be less likely and a better explanation is that your heart is slightly rotated. Of course the results have to be interpreted by your doctor in light of your overall clinical picture.  A TIA would not have anything to do with R-wave progression.

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