{"id":"https://openalex.org/W2947547784","doi":"https://doi.org/10.2185/jrm.2945","title":"Clinical significance of reversed R wave progression in right precordial leads","display_name":"Clinical significance of reversed R wave progression in right precordial leads","publication_year":2019,"publication_date":"2019-01-01","ids":{"openalex":"https://openalex.org/W2947547784","doi":"https://doi.org/10.2185/jrm.2945","mag":"2947547784","pmid":"https://pubmed.ncbi.nlm.nih.gov/31191765","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6545430"},"language":"en","primary_location":{"id":"doi:10.2185/jrm.2945","doi":"https://doi.org/10.2185/jrm.2945","is_oa":true,"landing_page_url":"https://doi.org/10.2185/jrm.2945","pdf_url":"https://www.jstage.jst.go.jp/article/jrm/14/1/14_2945/_pdf","source":{"id":"https://openalex.org/S199206354","display_name":"Journal of Rural Medicine","issn_l":"1880-487X","issn":["1880-487X","1880-4888"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Rural Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.jstage.jst.go.jp/article/jrm/14/1/14_2945/_pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046473780","display_name":"Hiroki Isono","orcid":"https://orcid.org/0000-0002-6593-8740","observed_orcids":["https://orcid.org/0000-0002-6593-8740"]},"institutions":[{"id":"https://openalex.org/I146399215","display_name":"University of Tsukuba","ror":"https://ror.org/02956yf07","country_code":"JP","type":"education","lineage":["https://openalex.org/I146399215"]},{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hiroki Isono","raw_affiliation_strings":["Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan","Department of Primary Care and Medical Education, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan","institution_ids":["https://openalex.org/I4405256059"]},{"raw_affiliation_string":"Department of Primary Care and Medical Education, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan","institution_ids":["https://openalex.org/I146399215"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113444564","display_name":"Shigeyuki Watanabe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shigeyuki Watanabe","raw_affiliation_strings":["Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan","institution_ids":["https://openalex.org/I4405256059"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044553178","display_name":"Chieko Sumiya","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Chieko Sumiya","raw_affiliation_strings":["Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan","institution_ids":["https://openalex.org/I4405256059"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112305777","display_name":"Masahiro Toyama","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masahiro Toyama","raw_affiliation_strings":["Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan","institution_ids":["https://openalex.org/I4405256059"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053213418","display_name":"Eiji Ojima","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Eiji Ojima","raw_affiliation_strings":["Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan","institution_ids":["https://openalex.org/I4405256059"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112421248","display_name":"Shunsuke Maruta","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shunsuke Maruta","raw_affiliation_strings":["Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan","institution_ids":["https://openalex.org/I4405256059"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073515381","display_name":"Yuta Oishi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yuta Oishi","raw_affiliation_strings":["Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan","institution_ids":["https://openalex.org/I4405256059"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059125559","display_name":"Junya Honda","orcid":"https://orcid.org/0000-0002-2405-202X","observed_orcids":["https://orcid.org/0000-0002-2405-202X"]},"institutions":[{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Junya Honda","raw_affiliation_strings":["Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan","institution_ids":["https://openalex.org/I4405256059"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101008622","display_name":"Yasuhisa Kuroda","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405256059","display_name":"Mito Kyodo General Hospital","ror":"https://ror.org/03qd78f09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405256059"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yasuhisa Kuroda","raw_affiliation_strings":["Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospital, Japan","institution_ids":["https://openalex.org/I4405256059"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":95},"biblio":{"volume":"14","issue":"1","first_page":"42","last_page":"47"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11021","display_name":"ECG Monitoring and Analysis","score":0.6234999895095825,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11021","display_name":"ECG Monitoring and Analysis","score":0.6234999895095825,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.3125,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10217","display_name":"Cardiac electrophysiology and arrhythmias","score":0.04659999907016754,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/right-precordial-leads","display_name":"right precordial leads","score":0.9750000238418579},{"id":"https://openalex.org/keywords/electrocardiography","display_name":"electrocardiogram","score":0.7160000205039978},{"id":"https://openalex.org/keywords/anterior-myocardial-infarction","display_name":"anterior myocardial infarction","score":0.9449999928474426},{"id":"https://openalex.org/keywords/clinical-significance","display_name":"clinical significance","score":0.42100000381469727}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9623095393180847},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.7169723510742188},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6836701035499573},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.5378265976905823},{"id":"https://openalex.org/C2780185194","wikidata":"https://www.wikidata.org/wiki/Q1364270","display_name":"Hypertrophic cardiomyopathy","level":2,"score":0.49967455863952637},{"id":"https://openalex.org/C63363279","wikidata":"https://www.wikidata.org/wiki/Q5133848","display_name":"Clinical significance","level":2,"score":0.48118287324905396},{"id":"https://openalex.org/C192244848","wikidata":"https://www.wikidata.org/wiki/Q7672706","display_name":"T wave","level":3,"score":0.4789027273654938},{"id":"https://openalex.org/C2776265017","wikidata":"https://www.wikidata.org/wiki/Q220570","display_name":"Pulmonary embolism","level":2,"score":0.4339662492275238},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.41960686445236206},{"id":"https://openalex.org/C2780040984","wikidata":"https://www.wikidata.org/wiki/Q79785","display_name":"Electrocardiography","level":2,"score":0.40587756037712097},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.34165674448013306}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.2185/jrm.2945","doi":"https://doi.org/10.2185/jrm.2945","is_oa":true,"landing_page_url":"https://doi.org/10.2185/jrm.2945","pdf_url":"https://www.jstage.jst.go.jp/article/jrm/14/1/14_2945/_pdf","source":{"id":"https://openalex.org/S199206354","display_name":"Journal of Rural Medicine","issn_l":"1880-487X","issn":["1880-487X","1880-4888"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Rural Medicine","raw_type":"journal-article"},{"id":"pmid:31191765","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31191765","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of rural medicine : JRM","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6545430","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6545430/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Rural Med","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.2185/jrm.2945","doi":"https://doi.org/10.2185/jrm.2945","is_oa":true,"landing_page_url":"https://doi.org/10.2185/jrm.2945","pdf_url":"https://www.jstage.jst.go.jp/article/jrm/14/1/14_2945/_pdf","source":{"id":"https://openalex.org/S199206354","display_name":"Journal of Rural Medicine","issn_l":"1880-487X","issn":["1880-487X","1880-4888"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Rural Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9940000176429749}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2947547784.pdf","grobid_xml":"https://content.openalex.org/works/W2947547784.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W1976571709","https://openalex.org/W2013376519","https://openalex.org/W2021235020","https://openalex.org/W2050018194","https://openalex.org/W2062078318","https://openalex.org/W2071300670","https://openalex.org/W2085118649","https://openalex.org/W2093502227","https://openalex.org/W2136379277","https://openalex.org/W2316872695"],"related_works":["https://openalex.org/W2380587150","https://openalex.org/W2308532678","https://openalex.org/W2416451045","https://openalex.org/W2021235020","https://openalex.org/W2062078318","https://openalex.org/W2100481747","https://openalex.org/W2071300670","https://openalex.org/W2392120232","https://openalex.org/W2370054342","https://openalex.org/W2013376519"],"abstract_inverted_index":{"Objective:":[0],"Poor":[1],"R":[2,36],"wave":[3,37],"progression":[4,38],"in":[5,29,52,70],"right":[6],"precordial":[7],"leads":[8],"is":[9,26,56],"a":[10],"relatively":[11],"common":[12],"electrocardiogram":[13],"(ECG)":[14],"finding":[15],"that":[16],"indicates":[17],"possible":[18],"prior":[19],"anterior":[20],"myocardial":[21],"infarction":[22],"(MI);":[23],"however,":[24,47],"it":[25],"observed":[27],"frequently":[28],"apparently":[30],"normal":[31],"individuals.":[32],"In":[33],"contrast,":[34],"reversed":[35],"(RRWP)":[39],"may":[40],"be":[41],"more":[42],"specific":[43],"to":[44,64],"cardiac":[45],"disorders;":[46],"the":[48,66],"significance":[49,67],"of":[50,60,68],"RRWP":[51,69],"daily":[53],"clinical":[54,71],"practice":[55],"unknown.":[57],"The":[58],"purpose":[59],"this":[61],"study":[62],"was":[63],"clarify":[65],"practice.":[72]},"counts_by_year":[{"year":2024,"cited_by_count":2}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2019-06-07T00:00:00"}