EKG and Heart Murmur Review - Part 1

A review of basic EKG interpretation and cardiac auscultation, using actual clinical cases to demonstrate connections between patient symptoms, EKG findings, and abnormalities of auscultation. I recommend first viewing my videos on "Heart Murmurs", "Heart Sounds", "Intro to EKG: Rate and Axis", and "Intro to EKG: Chamber Enlargement", as this review will rely heavily on information present during those lectures.

I highly recommend watching in 1080p.

[JyothiKBaby]

Thank you very much Dr Eric... I've really found these videos to be very helpful!

[maewnam]

Thank you. I finally understand the heart murmurs. This is such a great lecture.

[MayuraVyamsaka]

Can case 4 be interpreted as possible dextrocardia? The ECG shows upright qRs in aVR with poor voltage, poor R wave progression and unusally rightward/extreme axis, which in conjunction with the distant heart sounds pointed me in that direction.

[dragosmunteanu]

Thanks a lot, very interesting. With respects, Dragos Munteanu, MD, PhD, Iasi, Roumania

[СтаниславГоршков-щя]

I have been enjoying listening to your course. But (it seems to me) the ekg course is not complete without analysis the turnings of the heart axis. In that video, in the 4th example we probably had such case?

[SudiptaNaskar]

Thank you very much sir, for these lectures, tutorials and test exercises.. :-)

[m.safarsayedy]

Case 2 :most common cause of late diastolic murmur are mitral, tricuspid stenosis, myxoma and complete heart black.

[andrewg]

I am working on a personal project, and I would like to ask you how would the line on the ecg look different if the heart murmur was on the triscuspid valve? What i am really trying to find is what the ecg would look like with a murmur caused by a leaking triscupid valve.

[nmwoody]

very nice video.  for the last case you suggest that the murmur may be partly due to relative anemia and resulting lower viscosity promoting turbulence.  Might an additional factor be the increased cardiac output as an adaptation to the anemia?

[vinisha]

Wasn't there left axis deviation in case 3? Because normally we can see normal axis in lead 1 and aVF,
If the QRS complex is upright in both leads, its normal axis,
if the QRS complex is negative in lead 1 and positive in aVF, it will be considered as RAD
Or
If the QRS complex is positive in lead 1 and negative in aVF, we can conclude that it's LAD,
If it's negative in both leads ..it can be extreme axis deviation...
In this case 3, he has positive qrs in lead 1, and negative in aVF ...
Is it correct or not?
And lead 1 shows ST depression, and why the lead 2 shows poor 'R' wave ?
Isn't there LVH in case 5?, bcs she has tall R waves in v1, v2, and v3..

[nimrahali]

Hi Dr, I wanted to ask that in case 1, QRS voltages in EKG are neither meeting Cornell nor Sokolow-Lyon Criteria that you as you taught in chamber enlargement videos, so how is it LVH? Are there any other criteria?

[kimo]

Could it be that the man in case 3 has a LBBB ?

[mmagdawy]

hahahaha, The music is like that of Mr, Bean..very beautiful