Left Ventricular Hypertrophy

Left ventricular hypertrophy
• How to identify LVH on the 12-lead ECG
• LVH voltage criteria for the precordial leads and limb leads
• How to identify a “strain pattern” or secondary ST/T-wave abnormality
• Why LVH is a STEMI and Wellens’ mimic
• STEMI / OMI in the presence of left ventricular hypertrophy
LVH with anterior ST-elevation. When is it anterior STEMI?
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[@laharijoshi3604]

I am binge watching your videos! Thanks a lot for such detailed and consistently systematic reads. I always felt intimidated to learn more about ECG as i thought it was very difficult and never found it easy to learn form books. Very recently decided that it was time to tackle it head on and opted for videos. Couldn't have hoped for anything better than this! Thank you ,godbless 🙏🙏 love from India!

[@TomBouthillet]

Thank you so much, Lahari Joshi! I'm glad you found my channel to be useful.

[@marius8349]

Amazing videos Tom, I love cardiology and especially Ekgs, I wish you best of health and life.

[@user-hl1tc9zi1g]

I can't wait for your new video~

[@InfiniteVirusS]

Hello Doctor, great content! I wish you would do a video about ECG changes in Pericarditis.
Great channel!

[@TomBouthillet]

I'm a paramedic and EMS Chief! But thank you. That's a great idea! I will put that in the queue.

[@samjam1817]

Very beneficial

[@spooderglass]

Thank you so much

[@selenawang1956]

Where is AVF? The lead one is perpendicular to Avl or AvF? AvF is located the bottome . Confusing for me

[@StephenSmith_of_the_ECG_blog]

Nice work, Tom!

[@TomBouthillet]

Thanks, Steve!

[@indrajeet1316]

Thanks Tom (from India).

[@dr.8669]

I am doctor in korea and thanks your lecture

[@hamidehhamzehpoor514]

You are great thank you i am waiting for your another videos 😃

[@rumit9946]

Thanks

[@TomBouthillet]

That’s very generous of you! Thank you so much.

[@rumit9946]

@@TomBouthillet No worries 😉 Thank you for the awesome content. 🙏

[@haideranwar843]

Please Dr. Can you make more ECG videos !!?

[@TomBouthillet]

I have been thinking about it!

[@oneplus3882]

Thanks for the video Dr.! What if you are suspecting a STEMI and the voltage criteria for LVH are not met in V1 and V5-6, but are met in aVL? Regards

[@TomBouthillet]

In what leads are you suspecting a STEMI? Examine the depth of the S-waves in those leads and ask yourself it the ST-elevation is proportional. Does it looks like strain or does it look like STEMI? If there is doubt, obtain another 12-lead ECG in 5-10 and compare the two. Also, consider the history and clinical presentation. When the presentation is impressive, and ACS is the likely diagnosis, I would learn more toward cath lab activation. Perform a bedside echo if available and look for wall motion abnormalities!

[@murtu01]

27:33 left axis deviation?

[@TomBouthillet]

Physiologic left axis between 0 and -30.

[@murtu01]

@@TomBouthillet you're amazing. Keep the videos coming. PLEASE.

[@nikolamarkovic4845]

this is geat

[@glenngammad8973]

Hi good day dr. Can you explain lvh i was diagnosed with lvh is that dangerous? Is it treatable?

[@Kimjong-k4f]

Me too . How are you now