ECG Quest > Shapes > QRS complex > RSR'

RSR'

An RSR’ pattern has two positive R waves within the complex. This can be a sign of bundle branch block. The overall complex may be wide (complete bundle branch block) or narrow (incomplete bundle branch block). In V1 this pattern is commonly a sign of electrode misplacement (usually with T wave inversion in lead V2 and negative P waves in V1).

See also: QRS complex

Can you add to the information on this page?

This ECG Archive is an academic, non-commercial #FOAMed project aiming to crowdsource a free open access database of ECGs and signs. If you include your personal details such as your name you will be attributed for your contribution, unless you tell us that you don't want this to happen. Personal contact details such as email addresses will not be published but may be used to email you in reply. Full project details and participant information available here.
25 ECGs found. Sort by:
TitleDate
ASCDESC
Show:
31030
per page.
Columns: per page.
In the ECGquest archives, this ECG has been tagged with: - Dyspnoea Palpitations RSR' Wide QRS RBBB 12-Lead EMergucate CC-BY-NC-SA
ECG of the Week – 8th April 2019 – Interpretation

This ECG is from a woman in her 30s who presented with palpitations and intermittent shortness of breath.

This ECG shows wide QRS with RSR' in V1 and wide S in V6, consistent with RBBB.

In the ECGquest archives, this ECG has been tagged with: - High V1/V2 misplacement RSR' Saddleback ST elevation 12-Lead Dr Smith's ECG Blog CC BY-NC
Saddleback ST Elevation. Is it STEMI? Is it type II Brugada?

This ECG is from a man in his 50s who presented with epigastric and chest pain.

This ECG shows saddleback ST elevation, but a RSR pattern in V1 that suggested lead misplacement. When the electrodes were repositioned there was no evidence of ischemia.

In the ECGquest archives, this ECG has been tagged with: - Syncope Left Axis Deviation Normal rate Long PR RSR' Wide QRS First degree AV block LAFB RBBB 12-Lead ECG of the Week CC-BY-NC-SA
ECG of the Week – 26th November 2018 – Interpretation

This ECG is from a man in his 60s who presented after an episode of syncope.

This ECG shows bifascicular block (RBBB + LAFB) with a first degree AV block. He underwent pacemaker insertion.

In the ECGquest archives, this ECG has been tagged with: - Bradycardia Irregular Normal Axis Absent P waves RSR' Wide QRS Atrial fibrillation 12-Lead ECG of the Week CC-BY-NC-SA
ECG of the Week – 1st October 2018 – Interpretation

This ECG is from a man in his 80s who presented feeling generally unwell and nauseous, on a background of chronic atrial fibrillation, diabetes and hypertension.

In the ECGquest archives, this ECG has been tagged with: - Dizziness Dyspnoea Syncope Right Axis Deviation Tachycardia RSR' Wide QRS Wide complex tachycardia RBBB Pulmonary embolism 12-Lead Dr Smith's ECG Blog CC BY-NC
RBBB. Is there ST Elevation in III and aVR, with reciprocal ST depression in I and aVL?

This ECG is from a man of unknown age who presented with dizziness and dyspnoea on a background of stage 4 lymphoma. He was tachycardic, tachypnoeic (31) and hypoxic (SpO2 79%). The lungs were clear on auscultation.

In the ECGquest archives, this ECG has been tagged with: - Incorrect Machine Interpretation RSR' Wide P waves Wide QRS First degree AV block RBBB 12-Lead ECG Guru Dawn Bean Altman Dr Ken Grauer Jason Roediger CC-BY-NC-SA
Right Bundle Branch Block With Machine Interpretation Error | ECG Guru – Instructor Resources
In the ECGquest archives, this ECG has been tagged with: - Chest pain Concordant ST elevation Inverted T waves Narrow QRS RSR' Tall QRS Incomplete RBBB LVH 12-Lead Dr Smith's ECG Blog CC BY-NC
Unusual ST Elevation in V1 and V2, and LVH, in a Patient with Chest Pain