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okay so this is a short lecture about LVH criteria on EKGs, you might be asked that a lot while youre reading your EKGs. basically there are tons of criteria for LVH but for your level you can use those two simple methods: either you look at lead AVL and measure the R wave. if the R wave is above 11 millimeters then this goes with LVH. the other criteria which might be a little bit more complicated but its very good you look at the R wave in v5 and v6 you measure its height and then you add it to the S wave on v1. if the sum of this makes it more than 35 millimeter then the patient has LVH. lets see how it looks in examples. if you look at this EKG you can notice that the R wave in v6 is too tall. if we count it its gonna be 5 10 15 20 maybe 25 so the R is going to be 25 while you add it to the S wave in v1 and the s in v1 is gonna be from here to here its gonna be 5 10 15 20 or so. so the S wave is 20 if you add them together youll end up with 45 millimeter and thats above tha