R-wave in V1

Background
- Early R wave transition (V1 or V2)
- Also known as early precordial transition
Differential Diagnosis
- Posterior MI
- RBBB
- WPW
- RVH
- Hypertrophic cardiomyopathy
- Acute RV dilation
- LV ectopy
- Progressive muscular dystrophy
- Dextrocardia
- Misplaced precordial leads
- Normal variant
See Also
References
Mattu, Brady, et al. Prominent R Wave in Lead V1: Electrocardiographic Differential Diagnosis; Am J Emerg Med 2001;19:504-513.
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