6 ECG, Arrhythmia, and ST Monitoring

ECG Lead Placements

10-Lead Placement

When monitoring 12-leads of ECG, using a 10-Electrode Lead Placement, it is important to correctly place electrodes and to label all 12-lead ECG reports with the correct lead placement.

Conventional 12-Lead ECG

V1 - V6

RA

LA

RLLL

In conventional 12-Lead ECG using 10 electrodes, an electrode is placed on the right arm, left arm, right leg, and left leg. Six V- electrodes are placed on the chest. The right leg electrode is the reference electrode.

Limb electrodes:

Place arm electrodes on the inside of each arm, between the wrist and the elbow.

Place leg electrodes inside of each calf, between the knee and the ankle.

Chest electrodes:

V1 - on the 4th intercostal space at the right sternal border

V2 - on the 4th intercostal space at the left sternal border

V3 - midway between the V2 and V4 electrode positions

V4 - on the 5th intercostal space at the left midclavicular line

V5 - on the left anterior axillary line, horizontal with the V4 electrode position

V6 - on the left midaxillary line, horizontal with the V4 electrode position

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Philips MP60/70/80/90, MP20/30, MP40/50 manual Lead Placement, Conventional 12-Lead ECG

MP60/70/80/90, MP40/50, MP20/30 specifications

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