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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
Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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