What is the Etiology of the Tall Initial R Wave in V(1)-V(2)?

Mazen M. Kawji, OSF Cardiovascular Institute, Peoria, IL
D. Luke Glancy, LSU Health Sciences Center - New Orleans

Abstract

We present an electrocardiogram that may be passed on as showing a simple right bundle branch block, but for the vigilant interpreter, a posterior infarction could be easily gleaned from the presence of a tall initial R wave in V(1)-V(2).