{"id":7030,"date":"2026-06-15T05:50:38","date_gmt":"2026-06-15T05:50:38","guid":{"rendered":"https:\/\/115medic.com\/?p=7030"},"modified":"2026-06-15T05:51:25","modified_gmt":"2026-06-15T05:51:25","slug":"%d9%85%d9%88%d8%ac-r","status":"publish","type":"post","link":"http:\/\/115medic.com\/?p=7030","title":{"rendered":"\u0645\u0648\u062c R"},"content":{"rendered":"\n

\u0646\u0645\u0627\u06cc \u06a9\u0644\u06cc<\/p>\n\n\n\n

\u0645\u0648\u062c R \u0646\u062e\u0633\u062a\u06cc\u0646 \u0627\u0646\u062d\u0631\u0627\u0641 \u0645\u062b\u0628\u062a (\u0631\u0648 \u0628\u0647 \u0628\u0627\u0644\u0627) \u062f\u0631 \u0646\u0648\u0627\u0631 \u0642\u0644\u0628 \u067e\u0633 \u0627\u0632 \u0645\u0648\u062c P \u0627\u0633\u062a. \u0627\u06cc\u0646 \u0645\u0648\u062c \u0646\u0634\u0627\u0646\u200c\u062f\u0647\u0646\u062f\u0647 \u062f\u067e\u0648\u0644\u0627\u0631\u06cc\u0632\u0627\u0633\u06cc\u0648\u0646 \u0627\u0648\u0644\u06cc\u0647 \u0628\u0637\u0646\u200c\u0647\u0627 \u0645\u06cc\u200c\u0628\u0627\u0634\u062f.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u0627\u062e\u062a\u0644\u0627\u0644\u0627\u062a \u0645\u0648\u062c R<\/p>\n\n\n\n

\u0633\u0647 \u0627\u0644\u06af\u0648\u06cc \u0627\u0635\u0644\u06cc \u0627\u0632 \u0627\u062e\u062a\u0644\u0627\u0644\u0627\u062a \u0645\u0631\u062a\u0628\u0637 \u0628\u0627 \u0645\u0648\u062c R \u0648\u062c\u0648\u062f \u062f\u0627\u0631\u062f:<\/p>\n\n\n\n

\u063a\u0644\u0628\u0647 \u0645\u0648\u062c R \u062f\u0631 V1
\u063a\u0644\u0628\u0647 \u0645\u0648\u062c R \u062f\u0631 aVR
\u067e\u06cc\u0634\u0631\u0641\u062a \u0636\u0639\u06cc\u0641 \u0645\u0648\u062c R<\/p>\n\n\n\n

    \n
  1. \u063a\u0644\u0628\u0647 \u0645\u0648\u062c R \u062f\u0631 \u0644\u06cc\u062f V1<\/li>\n<\/ol>\n\n\n\n

    \u0639\u0644\u0644 \u063a\u0644\u0628\u0647 \u0645\u0648\u062c R \u062f\u0631 V1<\/p>\n\n\n\n

    \u062f\u0631 \u06a9\u0648\u062f\u06a9\u0627\u0646 \u0648 \u0628\u0632\u0631\u06af\u0633\u0627\u0644\u0627\u0646 \u062c\u0648\u0627\u0646 \u0645\u06cc\u200c\u062a\u0648\u0627\u0646\u062f \u06cc\u0627\u0641\u062a\u0647\u200c\u0627\u06cc \u0637\u0628\u06cc\u0639\u06cc \u0628\u0627\u0634\u062f.<\/p>\n\n\n\n

    ECG \u0637\u0628\u06cc\u0639\u06cc \u06a9\u0648\u062f\u06a9 \u062f\u0648 \u0633\u0627\u0644\u0647<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    \u0647\u06cc\u067e\u0631\u062a\u0631\u0648\u0641\u06cc \u0628\u0637\u0646 \u0631\u0627\u0633\u062a (Right Ventricular Hypertrophy \u2013 RVH)<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    \u0622\u0645\u0628\u0648\u0644\u06cc \u0631\u06cc\u0647 (Pulmonary Embolism)<\/p>\n\n\n\n

    \u062a\u062f\u0627\u0648\u0645 \u0627\u0644\u06af\u0648\u06cc \u0634\u06cc\u0631\u062e\u0648\u0627\u0631\u06af\u06cc (Infantile pattern persistence)<\/p>\n\n\n\n

    \u0634\u0646\u062a\u200c\u0647\u0627\u06cc \u0642\u0644\u0628\u06cc \u0627\u0632 \u0646\u0648\u0639 \u0686\u067e \u0628\u0647 \u0631\u0627\u0633\u062a<\/p>\n\n\n\n

    \u0628\u0644\u0648\u06a9 \u0634\u0627\u062e\u0647\u200c\u0627\u06cc \u0631\u0627\u0633\u062a (Right Bundle Branch Block \u2013 RBBB)<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n
    \"\"<\/figure>\n\n\n\n

    \u0627\u0646\u0641\u0627\u0631\u06a9\u062a\u0648\u0633 \u062e\u0644\u0641\u06cc \u0645\u06cc\u0648\u06a9\u0627\u0631\u062f (Posterior Myocardial Infarction) \u06a9\u0647 \u0645\u0639\u0645\u0648\u0644\u0627\u064b \u0628\u0627 ST elevation \u062f\u0631 \u0644\u06cc\u062f\u0647\u0627\u06cc V7\u060c V8 \u0648 V9 \u0647\u0645\u0631\u0627\u0647 \u0627\u0633\u062a.<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    \u0633\u0646\u062f\u0631\u0645 \u0648\u0644\u0641\u2013\u067e\u0627\u0631\u06a9\u06cc\u0646\u0633\u0648\u0646\u2013\u0648\u0627\u06cc\u062a \u0646\u0648\u0639 A (Wolff-Parkinson-White \u2013 WPW Type A)<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    \u0627\u0634\u062a\u0628\u0627\u0647 \u062f\u0631 \u062c\u0627\u06cc\u06af\u0630\u0627\u0631\u06cc \u0644\u06cc\u062f\u0647\u0627 (\u0645\u062b\u0644\u0627\u064b \u062c\u0627\u0628\u062c\u0627\u06cc\u06cc V1 \u0648 V3)<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    \u062f\u06a9\u0633\u062a\u0631\u0648\u06a9\u0627\u0631\u062f\u06cc\u0627 (Dextrocardia)<\/p>\n\n\n\n

    \u06a9\u0627\u0631\u062f\u06cc\u0648\u0645\u06cc\u0648\u067e\u0627\u062a\u06cc \u0647\u06cc\u067e\u0631\u062a\u0631\u0648\u0641\u06cc\u06a9 (Hypertrophic Cardiomyopathy \u2013 HCM)<\/p>\n\n\n\n

    \u0628\u06cc\u0645\u0627\u0631\u06cc\u200c\u0647\u0627\u06cc \u0639\u0636\u0644\u0627\u0646\u06cc-\u062f\u0698\u0646\u0631\u0627\u062a\u06cc\u0648 \u0645\u0627\u0646\u0646\u062f:<\/p>\n\n\n\n

    \u062f\u06cc\u0633\u062a\u0631\u0648\u0641\u06cc \u0639\u0636\u0644\u0627\u0646\u06cc<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    \u062f\u06cc\u0633\u062a\u0631\u0648\u0641\u06cc \u0645\u06cc\u0648\u062a\u0648\u0646\u06cc\u06a9<\/p>\n\n\n\n

    \u062f\u06cc\u0633\u062a\u0631\u0648\u0641\u06cc \u062f\u0648\u0634\u0646<\/p>\n\n\n\n

    \u0646\u0645\u0648\u0646\u0647\u200c\u0647\u0627\u06cc \u063a\u0644\u0628\u0647 \u0645\u0648\u062c R \u062f\u0631 V1<\/p>\n\n\n\n

    ECG \u0637\u0628\u06cc\u0639\u06cc \u06a9\u0648\u062f\u06a9 (\u06f2 \u0633\u0627\u0644\u0647)<\/p>\n\n\n\n

    \u0647\u06cc\u067e\u0631\u062a\u0631\u0648\u0641\u06cc \u0628\u0637\u0646 \u0631\u0627\u0633\u062a (RVH)<\/p>\n\n\n\n

    \u0628\u0644\u0648\u06a9 \u0634\u0627\u062e\u0647\u200c\u0627\u06cc \u0631\u0627\u0633\u062a (RBBB)<\/p>\n\n\n\n

    \u0627\u0646\u0641\u0627\u0631\u06a9\u062a\u0648\u0633 \u062e\u0644\u0641\u06cc<\/p>\n\n\n\n

    \u0633\u0646\u062f\u0631\u0645 \u0648\u0644\u0641\u2013\u067e\u0627\u0631\u06a9\u06cc\u0646\u0633\u0648\u0646\u2013\u0648\u0627\u06cc\u062a (\u0646\u0648\u0639 A)<\/p>\n\n\n\n

    \u062c\u0627\u0628\u062c\u0627\u06cc\u06cc \u0644\u06cc\u062f\u0647\u0627\u06cc V1 \u0648 V3<\/p>\n\n\n\n

    \u062f\u0631 \u0627\u06cc\u0646 \u062d\u0627\u0644\u062a \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u0645\u0648\u062c P \u062f\u0648 \u0641\u0627\u0632\u06cc (biphasic P wave) \u06a9\u0647 \u0645\u0639\u0645\u0648\u0644\u0627\u064b \u0641\u0642\u0637 \u062f\u0631 V1 \u062f\u06cc\u062f\u0647 \u0645\u06cc\u200c\u0634\u0648\u062f\u060c \u062f\u0631 \u0644\u06cc\u062f V3 \u0645\u0634\u0627\u0647\u062f\u0647 \u0634\u0648\u062f.<\/p>\n\n\n\n

    \u062f\u06cc\u0633\u062a\u0631\u0648\u0641\u06cc \u0639\u0636\u0644\u0627\u0646\u06cc<\/p>\n\n\n\n

      \n
    1. \u063a\u0644\u0628\u0647 \u0645\u0648\u062c R \u062f\u0631 aVR<\/li>\n<\/ol>\n\n\n\n

      \u0639\u0644\u0644 \u063a\u0644\u0628\u0647 \u0645\u0648\u062c R \u062f\u0631 aVR<\/p>\n\n\n\n

      \u0645\u0633\u0645\u0648\u0645\u06cc\u062a \u0628\u0627 \u062f\u0627\u0631\u0648\u0647\u0627\u06cc \u0645\u0647\u0627\u0631\u06a9\u0646\u0646\u062f\u0647 \u06a9\u0627\u0646\u0627\u0644 \u0633\u062f\u06cc\u0645 (\u0645\u0627\u0646\u0646\u062f \u062f\u0627\u0631\u0648\u0647\u0627\u06cc \u0636\u062f\u0627\u0641\u0633\u0631\u062f\u06af\u06cc \u0633\u0647\u200c\u062d\u0644\u0642\u0647\u200c\u0627\u06cc \u2013 TCA)<\/p>\n\n\n\n

      \u062f\u06a9\u0633\u062a\u0631\u0648\u06a9\u0627\u0631\u062f\u06cc\u0627<\/p>\n\n\n\n

      \u062c\u0627\u0628\u062c\u0627\u06cc\u06cc \u0627\u0634\u062a\u0628\u0627\u0647 \u0644\u06cc\u062f\u0647\u0627\u06cc \u0627\u0646\u062f\u0627\u0645\u06cc (\u062a\u0628\u0627\u062f\u0644 \u0644\u06cc\u062f\u0647\u0627\u06cc \u062f\u0633\u062a \u0686\u067e \u0648 \u0631\u0627\u0633\u062a)<\/p>\n\n\n\n

      \u0647\u0645\u0686\u0646\u06cc\u0646 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u062f\u0631 \u062a\u0627\u06a9\u06cc\u200c\u06a9\u0627\u0631\u062f\u06cc \u0628\u0637\u0646\u06cc (Ventricular Tachycardia \u2013 VT) \u0645\u0634\u0627\u0647\u062f\u0647 \u0634\u0648\u062f.<\/p>\n\n\n\n

      \u0646\u0645\u0648\u0646\u0647\u200c\u0647\u0627\u06cc \u063a\u0644\u0628\u0647 \u0645\u0648\u062c R \u062f\u0631 aVR<\/p>\n\n\n\n

      \u0645\u0633\u0645\u0648\u0645\u06cc\u062a \u0628\u0627 \u062f\u0627\u0631\u0648\u0647\u0627\u06cc \u0645\u0647\u0627\u0631\u06a9\u0646\u0646\u062f\u0647 \u06a9\u0627\u0646\u0627\u0644 \u0633\u062f\u06cc\u0645 \u0628\u0627\u0639\u062b \u0627\u06cc\u062c\u0627\u062f \u06cc\u06a9 R \u0627\u0646\u062a\u0647\u0627\u06cc\u06cc \u063a\u0627\u0644\u0628 \u062f\u0631 aVR \u0645\u06cc\u200c\u0634\u0648\u062f.<\/p>\n\n\n\n

      \u0627\u06cc\u0646 \u06cc\u0627\u0641\u062a\u0647 \u0632\u0645\u0627\u0646\u06cc \u0645\u0637\u0631\u062d\u200c\u06a9\u0646\u0646\u062f\u0647 \u0645\u0633\u0645\u0648\u0645\u06cc\u062a \u0627\u0633\u062a \u06a9\u0647:<\/p>\n\n\n\n

      \u0627\u0631\u062a\u0641\u0627\u0639 \u0645\u0648\u062c R \u0628\u06cc\u0634 \u0627\u0632 \u06f3 \u0645\u06cc\u0644\u06cc\u200c\u0645\u062a\u0631 \u0628\u0627\u0634\u062f<\/p>\n\n\n\n

      \u0646\u0633\u0628\u062a R\/S \u0628\u06cc\u0634 \u0627\u0632 \u06f0.\u06f7 \u0628\u0627\u0634\u062f<\/p>\n\n\n\n

      \u062f\u06a9\u0633\u062a\u0631\u0648\u06a9\u0627\u0631\u062f\u06cc\u0627<\/p>\n\n\n\n

      \u062f\u0631 \u062f\u06a9\u0633\u062a\u0631\u0648\u06a9\u0627\u0631\u062f\u06cc\u0627\u060c \u0648\u06cc\u0698\u06af\u06cc\u200c\u0647\u0627\u06cc \u0632\u06cc\u0631 \u062f\u0631 ECG \u0645\u0634\u0627\u0647\u062f\u0647 \u0645\u06cc\u200c\u0634\u0648\u062f:<\/p>\n\n\n\n

      QRS \u0645\u062b\u0628\u062a \u062f\u0631 aVR \u0647\u0645\u0631\u0627\u0647 \u0628\u0627 \u0645\u0648\u062c P \u0648 T \u0645\u062b\u0628\u062a
      QRS \u0645\u0646\u0641\u06cc \u062f\u0631 \u0644\u06cc\u062f I \u0647\u0645\u0631\u0627\u0647 \u0628\u0627 P \u0648 T \u0645\u0646\u0641\u06cc
      \u0627\u0646\u062d\u0631\u0627\u0641 \u0634\u062f\u06cc\u062f \u0645\u062d\u0648\u0631 \u0628\u0647 \u0631\u0627\u0633\u062a
      \u0639\u062f\u0645 \u067e\u06cc\u0634\u0631\u0641\u062a \u0637\u0628\u06cc\u0639\u06cc \u0645\u0648\u062c R \u062f\u0631 \u0644\u06cc\u062f\u0647\u0627\u06cc \u067e\u0631\u0647\u200c\u06a9\u0648\u0631\u062f\u06cc\u0627\u0644 (\u063a\u0644\u0628\u0647 S \u062f\u0631 \u062a\u0645\u0627\u0645 \u0644\u06cc\u062f\u0647\u0627)<\/p>\n\n\n\n

      \u062c\u0627\u0628\u062c\u0627\u06cc\u06cc \u0644\u06cc\u062f \u062f\u0633\u062a \u0686\u067e \u0648 \u0631\u0627\u0633\u062a<\/p>\n\n\n\n

      \u062f\u0631 \u0627\u06cc\u0646 \u062d\u0627\u0644\u062a:<\/p>\n\n\n\n

      \u0644\u06cc\u062f I \u0645\u0639\u06a9\u0648\u0633 \u0645\u06cc\u200c\u0634\u0648\u062f
      aVR \u0648 aVL \u0628\u0627 \u06cc\u06a9\u062f\u06cc\u06af\u0631 \u062c\u0627\u0628\u0647\u200c\u062c\u0627 \u0645\u06cc\u200c\u0634\u0648\u0646\u062f
      \u0644\u06cc\u062f\u0647\u0627\u06cc II \u0648 III \u0646\u06cc\u0632 \u062c\u0627\u0628\u0647\u200c\u062c\u0627 \u0645\u06cc\u200c\u0634\u0648\u0646\u062f<\/p>\n\n\n\n

      \u062a\u0627\u06a9\u06cc\u200c\u06a9\u0627\u0631\u062f\u06cc \u0628\u0637\u0646\u06cc<\/p>\n\n\n\n

        \n
      1. \u067e\u06cc\u0634\u0631\u0641\u062a \u0636\u0639\u06cc\u0641 \u0645\u0648\u062c R<\/li>\n<\/ol>\n\n\n\n

        \u067e\u06cc\u0634\u0631\u0641\u062a \u0636\u0639\u06cc\u0641 \u0645\u0648\u062c R \u0632\u0645\u0627\u0646\u06cc \u062a\u0639\u0631\u06cc\u0641 \u0645\u06cc\u200c\u0634\u0648\u062f \u06a9\u0647 \u0645\u0648\u062c R \u062f\u0631 V3 \u06a9\u0645\u062a\u0631 \u06cc\u0627 \u0645\u0633\u0627\u0648\u06cc \u06f3 \u0645\u06cc\u0644\u06cc\u200c\u0645\u062a\u0631 \u0628\u0627\u0634\u062f.<\/p>\n\n\n\n

        \u0639\u0644\u0644 \u0622\u0646 \u0634\u0627\u0645\u0644 \u0645\u0648\u0627\u0631\u062f \u0632\u06cc\u0631 \u0627\u0633\u062a:<\/p>\n\n\n\n

        \u0627\u0646\u0641\u0627\u0631\u06a9\u062a\u0648\u0633 \u0642\u062f\u0627\u0645\u06cc-\u0633\u067e\u062a\u0627\u0644\u06cc \u0642\u0628\u0644\u06cc<\/p>\n\n\n\n

        \u0647\u06cc\u067e\u0631\u062a\u0631\u0648\u0641\u06cc \u0628\u0637\u0646 \u0686\u067e<\/p>\n\n\n\n

        \u0627\u0634\u062a\u0628\u0627\u0647 \u062f\u0631 \u062c\u0627\u06cc\u06af\u0630\u0627\u0631\u06cc \u0644\u06cc\u062f\u0647\u0627<\/p>\n\n\n\n

        \u0648 \u06af\u0627\u0647\u06cc \u0628\u0647\u200c\u0639\u0646\u0648\u0627\u0646 \u06cc\u06a9 \u0648\u0627\u0631\u06cc\u0627\u0646\u062a \u0637\u0628\u06cc\u0639\u06cc<\/p>\n\n\n\n

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