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What does "poor R wave progression" mean on an EKG? 

Hello, my EKG showed poor R wave progression, but the echo was totally normal. [My doctor] tells me I'm fine. I'm freaking out. I never had a problem before. I'm scared. Can you help me? I'm 61 and can't forget this. Please email me. I can send you reports if you like. Thanks. 

submitted by Michelle from New York on 6/18/2013


by Texas Heart Institute cardiologist, Patrick J. Cook, MD  

Patrick J. Cook, MD Poor wave progression is an EKG finding that may or may NOT be a clue to underlying heart disease. When a subsequent echo is normal, that means that it was a false suggestion of the possibility of heart disease, and all is OK in that regard.

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Updated June 2013
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