KudoZ home » German to English » Medical: Cardiology

R-Verlust

English translation: loss of R waves or poor R wave progression

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)

German term or phrase:	R-Verlust
English translation:	loss of R waves or poor R wave progression
Entered by:	treychic

Options:
- Contribute to this entry

23:03 Oct 24, 2009

German to English translations [PRO]
Medical - Medical: Cardiology / EKG

German term or phrase: R-Verlust

Hi ProZ-Profis!

This term comes up in a report about an EKG

Context:

R-Verlust in V1 - V3

What is this called in English?

Thanks in advance for your help!
t r e y

treychic KudoZ activity Questions: 147 (3 open) (1 without valid answers) Answers: 0 United States
Local time: 21:21

loss of R waves or poor R wave progression

Explanation:
http://library.med.utah.edu/kw/ecg/ecg_outline/Lesson9/index...

7. Miscellaneous Abnormalities of the QRS Complex:
The differential diagnosis of these QRS abnormalities depend on other ECG findings as well as clinical patient information

Poor R Wave Progression - defined as loss of, or no R waves in leads V1-3 (R £2mm):

Selected response from:

SJLD

Grading comment

Thank you so much!!!
4 KudoZ points were awarded for this answer

Summary of answers provided
4 +2	loss of R waves or poor R wave progression	SJLD
4 +1	R-Loss	Dr Lofthouse
4	loss of R-wave height/loss of R-wave voltage/loss of R-wave progression	Ingrid Moore

Discussion entries: 1

Answers

19 mins confidence:

peer agreement (net): +1

R-Loss

Explanation:
i.e. reduction of R wave amplitude in leads V1-V3

Dr Lofthouse
United Kingdom
Local time: 05:21
Works in field
Native speaker of:

English,

Italian
PRO pts in category: 4

17 hrs confidence:

loss of R-wave height/loss of R-wave voltage/loss of R-wave progression

Explanation:
Reversed R wave progression (RRWP):
Reversed R wave progression is defined as a loss of R wave height between leads V I and V2 or between leads V2 and V3 or between leads V3 and V4. In the absence of LVH, this finding suggests anterior MI or precordial lead reversal.
http://medicine.ucsf.edu/education/resed/ecg/r_waves.html
The abnormalities you should look for are: “significant” Q waves, loss of precordial R height, ST elevation in contiguous leads, and T wave peaking or inversion. Any combination of these abnormalities can be present during the evolution of infarction.
http://www.madsci.com/manu/ekg_mi.htm
As the acute myocardial infarction evolves, changes to the QRS complex include loss of R wave height and the development of pathological Q waves.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1122768/
Prognostic value of Q waves, R/S ratio, loss of R wave voltage, ST-T segment abnormalities, electrical axis, low voltage and notching: correlation of electrocardiogram and left ventriculogram
Loss of R wave voltage had a lower predictive value for segmental asynergy than did Q waves in the same lead.
http://content.onlinejacc.org/cgi/content/abstract/4/1/17
Loss of R-wave progression may occur with acute myocardial infarction, but this feature is not present with acute pericarditis.
http://www.aafp.org/afp/980215ap/marinell.html
This loss of R wave progression in COPD may in part reflect right ventricular dilation. In addition, downward displacement of the heart in the emphysematous chest may play a major role in the genesis of poor R wave progression in some cases. Partial or complete normalization of R wave progression in this setting can often be achieved simply by recording the chest leads an interspace lower than usual. In contrast, Q waves due to infarction are not altered by this change in lead position.
http://cmbi.bjmu.edu.cn/uptodate/electrocardiography/General...

Ingrid Moore
Germany
Local time: 06:21
Specializes in field
Native speaker of: