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In the setting of Left Ventricular Hypertrophy (LVH), the left ventricle enlarges and so the leads oriented to the left ventricle (V5, V6, aVL) will "see" more electrical activity moving towards them. As well, the leads oriented away from the left ventricle (V1, V2) will "see" more activity moving away from them. In LVH therefore, leads V5, V6 and aVL will have tall R waves, while leads V1 and ... ................
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