Aortic Regurgitation Electrocardiogram

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editors-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Keri Shafer, M.D. [3]; Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.


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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