Normal R wave transition

Normal R wave transition occurs when the QRS transitions normally from being negative in V1 to positive in V6. The isoelectric lead(s) can usually be found in V3-4.

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In the ECGquest archives, this ECG has been tagged with: - 12-Lead Narrow QRS Normal Axis Normal P waves Normal R wave transition Regular Normal Dr Smith's ECG Blog CC BY-NC
Arrhythmia? Ischemia? Both? Electricity, drugs, lytics, cath lab? You decide. Baseline ECG.

This ECG is from a man in his 60s who presented with intermittent shortness of breath and chest pressure over the past few days. This was his baseline ECG for comparison.

This ECG shows a normal ECG.