Aortic Regurgitation Electrocardiogram

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In aortic insufficiency, the electrocardiographic findings are nonspecific. However, the following may be noted:

• Left ventricular hypertrophy
• Left axis deviation
• Left atrial enlargement
• Left ventricular volume overload pattern (prominent Q waves in leads I, aVL, and V3 to V6 and relatively small r waves in V1)
• Left ventricular conduction defects (typically late in the disease process)
• Repolarization abnormalities
• ST-segment depression in precordial leads

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