PowerPoint Presentation on Strain Patterns!

This is an awesome PowerPoint presentation from one of my favorite ECG textbooks, 12-Lead ECG – The Art of Interpretation.

You owe it to yourself to purchase this book (and no, they don’t pay me to say that).

Make sure you use “full screen” so you can see all of the features of this important presentation. Pay special attention to slides 33-47!

Slide 45 shows a strain pattern from left ventricular hypertrophy (LVH).

Slide 47 shows a split screen with a strain pattern from right ventricular hypertrophy (RVH) on the left and acute infero-posterior STEMI on the right.

This is the book that taught me how to recognize strain patterns! So pay attention because this is one of the most important STEMI mimics!



See also:

Left ventricular hypertrophy – Part I

Left ventricular hypertrophy – Part II

Right ventricular hypertrophy vs. isolated posterior STEMI


  • Tom,After hearing you preach about the book many times and reading your review on Amazon I finally splurged about a week ago and got it. Haven't put it down and I have it in my lap right now. Best 12-lead book I have read yet. Thank you. Wish I would have found it before I knew anything about ECGs. What a great book to start with.

  • Tom B says:

    Adam – It's definitely a great resource! I purchased the book after getting to know Tom G. and Neil H. on the EKG Club at Yahoo!Tom G. taught me about appropriate T-wave discordance with LBBB and RBBB, how to identify a nonspecific IVCD (and to suspect hyperkalemia when I saw it), and how to identify strain patterns with LVH.Keep in mind this was at a time that I was already teaching nationally in the CCEMT-P program.So I purchased this book and it helped solidify the information I had learned and I picked up more esoteric things like the nuances of atrial enlargment.It's helped me take my game to the next level.Interestingly, Tom G. admits a debt to Chou, so I also picked up a copy of Chou's Electrocardiography in Clinical Practice, which I've come to love just as much!Glad you're enjoying the book.Tom

  • Mike says:

    A great book! As is their book on Arrhythmias. Once you absorb it, test yourself and learn some more advanced material with "ECG's for the Emergency Physician" books 1 and 2. By Amal Mattu and W. Brady. Book 2 is basically another book 1 (200 12-leads to read with the answers in the back). The great thing is that they are all actual cases, so when you identify hyperkalemia you can flip to the back and find out their K was 7; and when you identify a Brugada pattern, you can flip to the back and find out the dx was missed, the pt discharged and found dead shortly thereafter! Absolutely worth the money–more addictive than crossword puzzles.Mike Sherriff (no conflicts)

  • Christopher says:

    I second Mike's point about their book on Arrhythmias. Excellent read with lots of practice examples.Browsed Mattu's during clinicals and it is on my Amazon Wishlist.(nobody paid me for this, but please do)

  • medic says:

    this is an excellent book. i'm glad you're recommending it as well. there are some editing mistakes, but you can figure that out easily for yourselves, and the mistakes are clearly minor compared to the enormous amount of detail this text provides.this text should be mandatory for all of us, yet most medics are happy with their 2-day 12-lead class, which doesn't even come close to scratching the surface of this vital skill.

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