A member asked:

Hi. i'm a paramedic and when i did a 12-lead ecg on myself at work i found an rsr' complex in v1(rsr' is 0.08s wide). it wasn't there when i did an ecg a couple of years ago. what should i do?

2 doctors weighed in across 2 answers

Ok...: RSR pattern is a benign finding......unless associated with lung, Rt ventricular pathology. If smoker, DVT, congenital or acquired rt sided heart problem.....don't worry. Being a female.....lead placement has to be considered...

Answered 11/23/2015

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Dr. Ira Friedlander answered

Specializes in Cardiac Electrophysiology

If you have no: cardiac symtoms (dyspnea, chest pain, palpitations, exertional limitation) then do nothing. Perhaps another EKG in a few years for interest. I suspect your conduction system is aging or more likely your lead position or body position was different now than the last time. This could be an early sign of right heart disease so an echo could be useful, nothing would be done until you have symptoms.

Answered 11/23/2015

1.9k views

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