Quando analisamos um eletrocardiograma normal o esperado é que a onda R apresente um aumento progresssivo nas derivações precordiais, de V1 a V6. Ou seja, em V1 e V2 é esperado ondas R de pequenas amplitudes e em V5 e V6 com maiores amplitudes. E quando você encontra ondas R amplas em V1 e V2? Quais os possíveis diagnósticos?
Existem algumas causas que estão relacionados a ondas R amplas em V1 e V2. Dentre as principais hipóteses podemos citar: 1) Sobrecarga ventricular direita; 2) Miocardiopatia Hipertrófica; 3) Pré-excitação ventricular; 4) Dextrocardia; 5) Bloqueio de Ramo Direito; 6)Troca de eletrodos precordiais; 7) Bloqueio divisional anteromedial (BDAM); 8) Infarto posterior; 9) Distrofia muscular.
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