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RSR' by ECG Finding

MedGen UID:
457144
Concept ID:
C2984918
Finding
Synonyms: RSR'; RSR' by EKG Finding

Definition

An electrocardiographic finding in which there are two R waves, which are two deflections above the baseline resulting from a single ventricular depolarization. The first upward deflection in the complex is the R wave. The S is the first downward deflection. A second upward deflection is called the R-prime wave. [from NCI]

Professional guidelines

PubMed

Carrington M, Creta A, Young WJ, Carrington M, Henriques J, Teixeira R, Gonçalves L, Lambiase PD, Providência R
J Cardiovasc Electrophysiol 2022 Sep;33(9):2083-2091. Epub 2022 Jul 16 doi: 10.1111/jce.15615. PMID: 35771489
Yadav AV, Nazer B, Drew BJ, Miller JM, El Masry H, Groh WJ, Natale A, Marrouche N, Badhwar N, Yang Y, Scheinman MM
JACC Clin Electrophysiol 2017 Jul;3(7):669-677. Epub 2017 Apr 26 doi: 10.1016/j.jacep.2017.01.010. PMID: 29759535
Baranchuk A, Enriquez A, García-Niebla J, Bayés-Genís A, Villuendas R, Bayés de Luna A
Ann Noninvasive Electrocardiol 2015 Jan;20(1):7-17. Epub 2014 Dec 26 doi: 10.1111/anec.12241. PMID: 25546557Free PMC Article

Recent clinical studies

Etiology

Carrington M, Creta A, Young WJ, Carrington M, Henriques J, Teixeira R, Gonçalves L, Lambiase PD, Providência R
J Cardiovasc Electrophysiol 2022 Sep;33(9):2083-2091. Epub 2022 Jul 16 doi: 10.1111/jce.15615. PMID: 35771489
REMAP-CAP Investigators; ACTIV-4a Investigators; ATTACC Investigators, Goligher EC, Bradbury CA, McVerry BJ, Lawler PR, Berger JS, Gong MN, Carrier M, Reynolds HR, Kumar A, Turgeon AF, Kornblith LZ, Kahn SR, Marshall JC, Kim KS, Houston BL, Derde LPG, Cushman M, Tritschler T, Angus DC, Godoy LC, McQuilten Z, Kirwan BA, Farkouh ME, Brooks MM, Lewis RJ, Berry LR, Lorenzi E, Gordon AC, Ahuja T, Al-Beidh F, Annane D, Arabi YM, Aryal D, Baumann Kreuziger L, Beane A, Bhimani Z, Bihari S, Billett HH, Bond L, Bonten M, Brunkhorst F, Buxton M, Buzgau A, Castellucci LA, Chekuri S, Chen JT, Cheng AC, Chkhikvadze T, Coiffard B, Contreras A, Costantini TW, de Brouwer S, Detry MA, Duggal A, Džavík V, Effron MB, Eng HF, Escobedo J, Estcourt LJ, Everett BM, Fergusson DA, Fitzgerald M, Fowler RA, Froess JD, Fu Z, Galanaud JP, Galen BT, Gandotra S, Girard TD, Goodman AL, Goossens H, Green C, Greenstein YY, Gross PL, Haniffa R, Hegde SM, Hendrickson CM, Higgins AM, Hindenburg AA, Hope AA, Horowitz JM, Horvat CM, Huang DT, Hudock K, Hunt BJ, Husain M, Hyzy RC, Jacobson JR, Jayakumar D, Keller NM, Khan A, Kim Y, Kindzelski A, King AJ, Knudson MM, Kornblith AE, Kutcher ME, Laffan MA, Lamontagne F, Le Gal G, Leeper CM, Leifer ES, Lim G, Gallego Lima F, Linstrum K, Litton E, Lopez-Sendon J, Lother SA, Marten N, Saud Marinez A, Martinez M, Mateos Garcia E, Mavromichalis S, McAuley DF, McDonald EG, McGlothlin A, McGuinness SP, Middeldorp S, Montgomery SK, Mouncey PR, Murthy S, Nair GB, Nair R, Nichol AD, Nicolau JC, Nunez-Garcia B, Park JJ, Park PK, Parke RL, Parker JC, Parnia S, Paul JD, Pompilio M, Quigley JG, Rosenson RS, Rost NS, Rowan K, Santos FO, Santos M, Santos MO, Satterwhite L, Saunders CT, Schreiber J, Schutgens REG, Seymour CW, Siegal DM, Silva DG Jr, Singhal AB, Slutsky AS, Solvason D, Stanworth SJ, Turner AM, van Bentum-Puijk W, van de Veerdonk FL, van Diepen S, Vazquez-Grande G, Wahid L, Wareham V, Widmer RJ, Wilson JG, Yuriditsky E, Zhong Y, Berry SM, McArthur CJ, Neal MD, Hochman JS, Webb SA, Zarychanski R
N Engl J Med 2021 Aug 26;385(9):777-789. Epub 2021 Aug 4 doi: 10.1056/NEJMoa2103417. PMID: 34351722Free PMC Article
Murugesan A, Rani MRS, Vilella L, Lacuey N, Hampson JP, Faingold CL, Friedman D, Devinsky O, Sainju RK, Schuele S, Diehl B, Nei M, Harper RM, Bateman LM, Richerson G, Lhatoo SD
Neurology 2019 Oct 8;93(15):e1485-e1494. Epub 2019 Sep 4 doi: 10.1212/WNL.0000000000008244. PMID: 31484709Free PMC Article
O'Neal WT, Qureshi W, Li Y, Soliman EZ
J Electrocardiol 2015 May-Jun;48(3):430-3. Epub 2015 Feb 28 doi: 10.1016/j.jelectrocard.2015.02.010. PMID: 25795568
Schiller O, Greene EA, Moak JP, Gierdalski M, Berul CI
J Pediatr 2013 Feb;162(2):308-12. Epub 2012 Aug 19 doi: 10.1016/j.jpeds.2012.07.017. PMID: 22910098

Diagnosis

Pujol-López M, Ferró E, Borràs R, Garre P, Guasch E, Jiménez-Arjona R, Garcia-Ribas C, Doltra A, Niebla M, Carro E, Roca-Luque I, Guichard JB, Puente JL, Uribe L, Vázquez-Calvo S, Castel MÁ, Arbelo E, Porta-Sánchez A, Sitges M, Tolosana JM, Mont L
Europace 2023 Jun 2;25(6) doi: 10.1093/europace/euad128. PMID: 37294671Free PMC Article
Floria M, Parteni N, Neagu AI, Sascau RA, Statescu C, Tanase DM
Anatol J Cardiol 2021 Jun;25(6):380-384. doi: 10.5152/AnatolJCardiol.2021.84375. PMID: 34100724Free PMC Article
Koppikar S, Barbosa-Barros R, Baranchuk A
Can J Cardiol 2015 Dec;31(12):1493-6. Epub 2015 Apr 18 doi: 10.1016/j.cjca.2015.04.008. PMID: 26143139
Baranchuk A, Enriquez A, García-Niebla J, Bayés-Genís A, Villuendas R, Bayés de Luna A
Ann Noninvasive Electrocardiol 2015 Jan;20(1):7-17. Epub 2014 Dec 26 doi: 10.1111/anec.12241. PMID: 25546557Free PMC Article
Elvas L, Gursoy S, Brugada J, Andries E, Brugada P
Can J Cardiol 1994 Apr;10(3):342-8. PMID: 7909274

Therapy

Farina JM, Yinadsawaphan T, Jaroszewski DE, Aly MR, Botros M, Cheema KP, Fatunde OA, Sorajja D
J Electrocardiol 2024 Jan-Feb;82:19-26. Epub 2023 Nov 19 doi: 10.1016/j.jelectrocard.2023.11.007. PMID: 38000149
Pujol-López M, Ferró E, Borràs R, Garre P, Guasch E, Jiménez-Arjona R, Garcia-Ribas C, Doltra A, Niebla M, Carro E, Roca-Luque I, Guichard JB, Puente JL, Uribe L, Vázquez-Calvo S, Castel MÁ, Arbelo E, Porta-Sánchez A, Sitges M, Tolosana JM, Mont L
Europace 2023 Jun 2;25(6) doi: 10.1093/europace/euad128. PMID: 37294671Free PMC Article
REMAP-CAP Investigators; ACTIV-4a Investigators; ATTACC Investigators, Goligher EC, Bradbury CA, McVerry BJ, Lawler PR, Berger JS, Gong MN, Carrier M, Reynolds HR, Kumar A, Turgeon AF, Kornblith LZ, Kahn SR, Marshall JC, Kim KS, Houston BL, Derde LPG, Cushman M, Tritschler T, Angus DC, Godoy LC, McQuilten Z, Kirwan BA, Farkouh ME, Brooks MM, Lewis RJ, Berry LR, Lorenzi E, Gordon AC, Ahuja T, Al-Beidh F, Annane D, Arabi YM, Aryal D, Baumann Kreuziger L, Beane A, Bhimani Z, Bihari S, Billett HH, Bond L, Bonten M, Brunkhorst F, Buxton M, Buzgau A, Castellucci LA, Chekuri S, Chen JT, Cheng AC, Chkhikvadze T, Coiffard B, Contreras A, Costantini TW, de Brouwer S, Detry MA, Duggal A, Džavík V, Effron MB, Eng HF, Escobedo J, Estcourt LJ, Everett BM, Fergusson DA, Fitzgerald M, Fowler RA, Froess JD, Fu Z, Galanaud JP, Galen BT, Gandotra S, Girard TD, Goodman AL, Goossens H, Green C, Greenstein YY, Gross PL, Haniffa R, Hegde SM, Hendrickson CM, Higgins AM, Hindenburg AA, Hope AA, Horowitz JM, Horvat CM, Huang DT, Hudock K, Hunt BJ, Husain M, Hyzy RC, Jacobson JR, Jayakumar D, Keller NM, Khan A, Kim Y, Kindzelski A, King AJ, Knudson MM, Kornblith AE, Kutcher ME, Laffan MA, Lamontagne F, Le Gal G, Leeper CM, Leifer ES, Lim G, Gallego Lima F, Linstrum K, Litton E, Lopez-Sendon J, Lother SA, Marten N, Saud Marinez A, Martinez M, Mateos Garcia E, Mavromichalis S, McAuley DF, McDonald EG, McGlothlin A, McGuinness SP, Middeldorp S, Montgomery SK, Mouncey PR, Murthy S, Nair GB, Nair R, Nichol AD, Nicolau JC, Nunez-Garcia B, Park JJ, Park PK, Parke RL, Parker JC, Parnia S, Paul JD, Pompilio M, Quigley JG, Rosenson RS, Rost NS, Rowan K, Santos FO, Santos M, Santos MO, Satterwhite L, Saunders CT, Schreiber J, Schutgens REG, Seymour CW, Siegal DM, Silva DG Jr, Singhal AB, Slutsky AS, Solvason D, Stanworth SJ, Turner AM, van Bentum-Puijk W, van de Veerdonk FL, van Diepen S, Vazquez-Grande G, Wahid L, Wareham V, Widmer RJ, Wilson JG, Yuriditsky E, Zhong Y, Berry SM, McArthur CJ, Neal MD, Hochman JS, Webb SA, Zarychanski R
N Engl J Med 2021 Aug 26;385(9):777-789. Epub 2021 Aug 4 doi: 10.1056/NEJMoa2103417. PMID: 34351722Free PMC Article
Hill CM, Mostafa P, Stuart AG, Thomas DW, Walker RV
Br Dent J 2009 Dec 19;207(12):E23. Epub 2009 Nov 6 doi: 10.1038/sj.bdj.2009.978. PMID: 19893562
Elvas L, Gursoy S, Brugada J, Andries E, Brugada P
Can J Cardiol 1994 Apr;10(3):342-8. PMID: 7909274

Prognosis

Pujol-López M, Ferró E, Borràs R, Garre P, Guasch E, Jiménez-Arjona R, Garcia-Ribas C, Doltra A, Niebla M, Carro E, Roca-Luque I, Guichard JB, Puente JL, Uribe L, Vázquez-Calvo S, Castel MÁ, Arbelo E, Porta-Sánchez A, Sitges M, Tolosana JM, Mont L
Europace 2023 Jun 2;25(6) doi: 10.1093/europace/euad128. PMID: 37294671Free PMC Article
REMAP-CAP Investigators; ACTIV-4a Investigators; ATTACC Investigators, Goligher EC, Bradbury CA, McVerry BJ, Lawler PR, Berger JS, Gong MN, Carrier M, Reynolds HR, Kumar A, Turgeon AF, Kornblith LZ, Kahn SR, Marshall JC, Kim KS, Houston BL, Derde LPG, Cushman M, Tritschler T, Angus DC, Godoy LC, McQuilten Z, Kirwan BA, Farkouh ME, Brooks MM, Lewis RJ, Berry LR, Lorenzi E, Gordon AC, Ahuja T, Al-Beidh F, Annane D, Arabi YM, Aryal D, Baumann Kreuziger L, Beane A, Bhimani Z, Bihari S, Billett HH, Bond L, Bonten M, Brunkhorst F, Buxton M, Buzgau A, Castellucci LA, Chekuri S, Chen JT, Cheng AC, Chkhikvadze T, Coiffard B, Contreras A, Costantini TW, de Brouwer S, Detry MA, Duggal A, Džavík V, Effron MB, Eng HF, Escobedo J, Estcourt LJ, Everett BM, Fergusson DA, Fitzgerald M, Fowler RA, Froess JD, Fu Z, Galanaud JP, Galen BT, Gandotra S, Girard TD, Goodman AL, Goossens H, Green C, Greenstein YY, Gross PL, Haniffa R, Hegde SM, Hendrickson CM, Higgins AM, Hindenburg AA, Hope AA, Horowitz JM, Horvat CM, Huang DT, Hudock K, Hunt BJ, Husain M, Hyzy RC, Jacobson JR, Jayakumar D, Keller NM, Khan A, Kim Y, Kindzelski A, King AJ, Knudson MM, Kornblith AE, Kutcher ME, Laffan MA, Lamontagne F, Le Gal G, Leeper CM, Leifer ES, Lim G, Gallego Lima F, Linstrum K, Litton E, Lopez-Sendon J, Lother SA, Marten N, Saud Marinez A, Martinez M, Mateos Garcia E, Mavromichalis S, McAuley DF, McDonald EG, McGlothlin A, McGuinness SP, Middeldorp S, Montgomery SK, Mouncey PR, Murthy S, Nair GB, Nair R, Nichol AD, Nicolau JC, Nunez-Garcia B, Park JJ, Park PK, Parke RL, Parker JC, Parnia S, Paul JD, Pompilio M, Quigley JG, Rosenson RS, Rost NS, Rowan K, Santos FO, Santos M, Santos MO, Satterwhite L, Saunders CT, Schreiber J, Schutgens REG, Seymour CW, Siegal DM, Silva DG Jr, Singhal AB, Slutsky AS, Solvason D, Stanworth SJ, Turner AM, van Bentum-Puijk W, van de Veerdonk FL, van Diepen S, Vazquez-Grande G, Wahid L, Wareham V, Widmer RJ, Wilson JG, Yuriditsky E, Zhong Y, Berry SM, McArthur CJ, Neal MD, Hochman JS, Webb SA, Zarychanski R
N Engl J Med 2021 Aug 26;385(9):777-789. Epub 2021 Aug 4 doi: 10.1056/NEJMoa2103417. PMID: 34351722Free PMC Article
O'Neal WT, Qureshi W, Li Y, Soliman EZ
J Electrocardiol 2015 May-Jun;48(3):430-3. Epub 2015 Feb 28 doi: 10.1016/j.jelectrocard.2015.02.010. PMID: 25795568
Schiller O, Greene EA, Moak JP, Gierdalski M, Berul CI
J Pediatr 2013 Feb;162(2):308-12. Epub 2012 Aug 19 doi: 10.1016/j.jpeds.2012.07.017. PMID: 22910098
Chatterjee S, Changawala N
Clin Cardiol 2010 Feb;33(2):68-71. doi: 10.1002/clc.20709. PMID: 20186984Free PMC Article

Clinical prediction guides

Vilella L, Miyake CY, Chaitanya G, Hampson JP, Omidi SJ, Ochoa-Urrea M, Talavera B, Mancera O, Hupp NJ, Hampson JS, Rani MRS, Lacuey N, Tao S, Sainju RK, Friedman D, Nei M, Scott CA, Gehlbach B, Schuele SU, Ogren JA, Harper RM, Diehl B, Bateman LM, Devinsky O, Richerson GB, Zhang GQ, Lhatoo SD
Neurology 2024 Jul 9;103(1):e209501. Epub 2024 Jun 13 doi: 10.1212/WNL.0000000000209501. PMID: 38870452
Farina JM, Yinadsawaphan T, Jaroszewski DE, Aly MR, Botros M, Cheema KP, Fatunde OA, Sorajja D
J Electrocardiol 2024 Jan-Feb;82:19-26. Epub 2023 Nov 19 doi: 10.1016/j.jelectrocard.2023.11.007. PMID: 38000149
Pujol-López M, Ferró E, Borràs R, Garre P, Guasch E, Jiménez-Arjona R, Garcia-Ribas C, Doltra A, Niebla M, Carro E, Roca-Luque I, Guichard JB, Puente JL, Uribe L, Vázquez-Calvo S, Castel MÁ, Arbelo E, Porta-Sánchez A, Sitges M, Tolosana JM, Mont L
Europace 2023 Jun 2;25(6) doi: 10.1093/europace/euad128. PMID: 37294671Free PMC Article
Schiller O, Greene EA, Moak JP, Gierdalski M, Berul CI
J Pediatr 2013 Feb;162(2):308-12. Epub 2012 Aug 19 doi: 10.1016/j.jpeds.2012.07.017. PMID: 22910098
Chatterjee S, Changawala N
Clin Cardiol 2010 Feb;33(2):68-71. doi: 10.1002/clc.20709. PMID: 20186984Free PMC Article

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