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Complete absence of precordial R waves due to absence of left-sided pericardium
Christian Steinberg1, Marie-Josée Pelletier, Jean Champagne
1Department of Cardiology, Quebec Heart and Lung Institute, Quebec, Quebec, Canada.
Abstract:
Poor R-wave progression (PRWP) in the precordial leads on random ECG is relatively frequent in the general population and includes a broad differential diagnosis. Here, we present for the first time a case of complete absence of precordial R waves associated with a prominent R wave in aVR due to the absence of the left-sided pericardium in a 44-year-old woman who experienced sudden cardiac death.
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