ECG Lead Placements

6 ECG, Arrhythmia, and ST Monitoring

Modified 12-Lead ECG

Angle of Lewis

RALA

V1 - V6

If your institution uses modified 10 Lead ECG electrode placement (the Mason-Likar Lead System), place the four limb electrodes close to the shoulders and lower abdomen.

The six V electrodes are placed on the chest in the same position as the conventional 12-lead placement.

RL LL

Choosing Standard or Modified Electrode Placement

If your institution uses modified 10 Lead ECG electrode placement (the Mason-Likar Lead System), you must switch Mod. Lead Placment to On in the monitor. To do this,

♦in the Setup ECG menu, select Mod. LeadPlacement to toggle between On and Off.

–When Mod. Lead Placment is set to On, 12 Lead ECG Reports will be labelled 12 Lead ECG Report (Mason-Likar), and captured 12-lead ECGs will be labelled Mason- Likar to the right of the bandwidth annotation at the Information Center.

–When Mod. LeadPlacment is set to Off, 12 Lead ECG Reports will be labelled 12 Lead ECG Report, and captured 12-lead ECGs will not be annotated at the Information Center.

WARNING Do not use ECG analysis interpretation statements and measurements for 12-lead ECGs obtained using the modified (Mason-Likar) limb electrode placement.This may lead to misdiagnosis since the modified (Mason-Likar) limb electrode placement does not look the same as the conventional 12-lead ECG and may mask inferior infarction due to calculated axis, R, P and T wave magnitudes shifts and ST slope.

Do not export 12-lead ECGs obtained using the modified (Mason-Likar) limb electrode placement. Captured 12-Lead ECGs using the modified (Mason-Likar) limb electrode placement exported from the Information Center are not annotated with the Mason-Likar label.

Labelling 12-Lead ECG Reports

To label 12-lead ECG monitor reports and Captured 12-lead ECGs reports:

♦In the Setup ECG menu, select Mod. LeadPlacement to toggle between On and Off. When Mod LeadPlacement is set to On:

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Philips MP20/30 Choosing Standard or Modified Electrode Placement, Labelling 12-Lead ECG Reports, Modified 12-Lead ECG
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MP60/70/80/90, MP40/50, MP20/30 specifications

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