Physiologic or positional factors |
Misplacement of chest leads |
Normal variants |
Displacement of heart toward right chest (dextroversion) - congenital or acquired |
Myocardial injury |
Posterior and/or lateral MI myocardial infarction |
Duchenne muscular dystrophy |
Ventricular enlargement |
Right ventricular hypertrophy (usually with right axis deviation) |
Hypertrophic cardiomyopathy |
Altered ventricular depolarization |
Right ventricular conduction abnormalities |
Wolff-Parkinson-White patterns (due to posterior or lateral wall preexcitation) |
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