{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T21:37:29Z","timestamp":1758404249689},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,9,30]],"date-time":"2013-09-30T00:00:00Z","timestamp":1380499200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Atypical right bundle branch block (RBBB) may present with an rS pattern and notched S wave in lead V<jats:sub>1<\/jats:sub>. The notched S wave may represent slowed conduction or delayed activation of the right ventricular conduction system or ventricular myocardium.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed the QRS patterns in accessory right precordial leads (from V<jats:sub>3<\/jats:sub>R to V<jats:sub>5<\/jats:sub>R) in 15 adults\/senior individuals with notched S wave in lead V<jats:sub>1<\/jats:sub>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the right accessory precordial leads, 13 showed triphasic QRS pattern with final R\u2032 wave in their QRS complexes. This QRS pattern in association with notched S wave in lead V<jats:sub>1<\/jats:sub> is suggestive of the presence of RBBB (incomplete or complete).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A notched S wave in lead V<jats:sub>1<\/jats:sub> and in the right precordial accessory leads associated with a final R\u2032 wave suggests the possibility of concealed RBBB (incomplete or complete).<\/jats:p><\/jats:sec>","DOI":"10.1111\/anec.12114","type":"journal-article","created":{"date-parts":[[2013,10,12]],"date-time":"2013-10-12T01:44:55Z","timestamp":1381542295000},"page":"234-240","source":"Crossref","is-referenced-by-count":4,"title":["Electrocardiographic Findings in Accessory Right Precordial Leads in Adults and Seniors with Notched S Waves in Lead V<sub>1<\/sub>\u2014A Preliminary Study"],"prefix":"10.1111","volume":"19","author":[{"given":"Zhan","family":"Zhong\u2010qun","sequence":"first","affiliation":[{"name":"Department of Cardiology, Shiyan Taihe Hospital Hubei University of Medicine  Shiyan City Hubei Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kjell C.","family":"Nikus","sequence":"additional","affiliation":[{"name":"Department of Cardiology Heart Center Tampere University Hospital and University of Tampere Medical School  Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9s Ricardo","family":"P\u00e9rez\u2010Riera","sequence":"additional","affiliation":[{"name":"ABC Faculty of Medicine (FMABC) ABC Foundation (FUABC) Cardiology Discipline Electro\u2010Vectorcardiology Sector, Santo Andr\u00e9  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wang","family":"Chong\u2010quan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shiyan Taihe Hospital Hubei University of Medicine  Shiyan City Hubei Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,9,30]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelectrocard.2010.02.011"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelectrocard.2008.12.011"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.595892"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.87.2.180"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehr291"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.5603\/CJ.2011.0028"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelectrocard.2012.05.001"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2008.08.031"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs291"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.17.1.28"},{"key":"e_1_2_7_12_1","first-page":"95","volume-title":"Adult and Pediatric","author":"Surawicz B","year":"2008"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.12.013"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.21.1.28"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1935.02760170011004"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelectrocard.2012.10.002"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.637389"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1586\/erc.12.142"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.58.3.205"}],"container-title":["Annals of Noninvasive Electrocardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fanec.12114","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.12114","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T18:57:34Z","timestamp":1696618654000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/anec.12114"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,30]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014,5]]}},"alternative-id":["10.1111\/anec.12114"],"URL":"https:\/\/doi.org\/10.1111\/anec.12114","archive":["Portico"],"relation":{},"ISSN":["1082-720X","1542-474X"],"issn-type":[{"value":"1082-720X","type":"print"},{"value":"1542-474X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9,30]]}}}