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Peñaloza-Tranchesi sign secondary to ascending aortic aneurysm and not due to right atrium enlargement.

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Low QRS amplitude in V1, with relative three-to-fourfold or greater increase in V2, is considered an indirect sign of right atrium enlargement (Peñaloza-Tranchesi sign). We describe a patient with Peñaloza-Tranchesi… Click to show full abstract

Low QRS amplitude in V1, with relative three-to-fourfold or greater increase in V2, is considered an indirect sign of right atrium enlargement (Peñaloza-Tranchesi sign). We describe a patient with Peñaloza-Tranchesi sign caused by an ascending aortic aneurysm, with normalization of the QRS complex amplitude in V1 after aortic replacement.

Keywords: right atrium; tranchesi sign; atrium enlargement; sign; aloza tranchesi

Journal Title: Journal of electrocardiology
Year Published: 2017

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