Is there anything to be worried about poor R Wave progression? actually what is it?

Question

Poor R wave progression is a vague term used to describe a variation in the pattern formed by the QRS complexes in the chest or precordial leads.
Poor R wave progression refers to the absence of the normal increase in size of the R wave in the precordial leads when advancing from lead V1 to V6.

The causes of PRWP are as follows:
Old anterior myocardial infarction
Lead misplacement (frequently in obese women)
Left bundle branch block or left anterior fascicular block
Left ventricular hypertrophy
Wolff-Parkinson-White syndrome
Dextrocardia
Tension pneumothorax with mediastinal shift
Congenital heart disease

Tanmay Palsule · Accepted Answer

Poor R wave progression is a vague term used to describe a variation in the pattern formed by the QRS complexes in the chest or precordial leads.
Poor R wave progression refers to the absence of the normal increase in size of the R wave in the precordial leads when advancing from lead V1 to V6.

The causes of PRWP are as follows:
Old anterior myocardial infarction
Lead misplacement (frequently in obese women)
Left bundle branch block or left anterior fascicular block
Left ventricular hypertrophy
Wolff-Parkinson-White syndrome
Dextrocardia
Tension pneumothorax with mediastinal shift
Congenital heart disease

Mamta Chib · Answer

If clinical findings are also there along with poor R Wave progression then there is a need to have full dietary modifications.