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Prolonged QRS duration (< 0.01) sec in child under 16 years ;> 0.12
sec over 16 years
rsR' pattern in right chest leads (V3R , V4R , V1) with initial (0.04 sec)
rapid deflection and terminal (0.06-0.08 sec) show deflection
Major deflection in lead II, III, aVF is negative
Q wave in leads I, aV1
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Right ventricular hypertrophy
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