ECG lead misplacement: A brief review of limb lead misplacement

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Presentation transcript:

ECG lead misplacement: A brief review of limb lead misplacement Richard Lynch  African Journal of Emergency Medicine  Volume 4, Issue 3, Pages 130-139 (September 2014) DOI: 10.1016/j.afjem.2014.05.006 Copyright © 2014 Terms and Conditions

Figure 1 The 12-lead ECG on arrival. African Journal of Emergency Medicine 2014 4, 130-139DOI: (10.1016/j.afjem.2014.05.006) Copyright © 2014 Terms and Conditions

Figure 2 The second ECG was recorded using a different ECG machine. African Journal of Emergency Medicine 2014 4, 130-139DOI: (10.1016/j.afjem.2014.05.006) Copyright © 2014 Terms and Conditions

Figure 3 Incorrect attachment at the lead junction box with colour dots not matching up. African Journal of Emergency Medicine 2014 4, 130-139DOI: (10.1016/j.afjem.2014.05.006) Copyright © 2014 Terms and Conditions

Figure 4 Correct attachment at lead junction box with color dots matching up. African Journal of Emergency Medicine 2014 4, 130-139DOI: (10.1016/j.afjem.2014.05.006) Copyright © 2014 Terms and Conditions

Figure 5 ECG with normal lead placement. African Journal of Emergency Medicine 2014 4, 130-139DOI: (10.1016/j.afjem.2014.05.006) Copyright © 2014 Terms and Conditions

Figure 6 Normal Einthoven triangle demonstrating the four limb electrodes (RA, LA, RL, LL) and the six leads generated by them (I, II, III, aVR, aVL, aVF). African Journal of Emergency Medicine 2014 4, 130-139DOI: (10.1016/j.afjem.2014.05.006) Copyright © 2014 Terms and Conditions

Figure 7 Right arm to left arm reversal. African Journal of Emergency Medicine 2014 4, 130-139DOI: (10.1016/j.afjem.2014.05.006) Copyright © 2014 Terms and Conditions

Figure 8 Right arm to left leg reversal. African Journal of Emergency Medicine 2014 4, 130-139DOI: (10.1016/j.afjem.2014.05.006) Copyright © 2014 Terms and Conditions

Figure 9 Right arm to right leg reversal. African Journal of Emergency Medicine 2014 4, 130-139DOI: (10.1016/j.afjem.2014.05.006) Copyright © 2014 Terms and Conditions

Figure 10 Right arm to right leg and left arm to left Leg reversal. African Journal of Emergency Medicine 2014 4, 130-139DOI: (10.1016/j.afjem.2014.05.006) Copyright © 2014 Terms and Conditions

Figure 11 Left arm to right leg reversal. African Journal of Emergency Medicine 2014 4, 130-139DOI: (10.1016/j.afjem.2014.05.006) Copyright © 2014 Terms and Conditions

Figure 12 Left arm to left leg reversal. African Journal of Emergency Medicine 2014 4, 130-139DOI: (10.1016/j.afjem.2014.05.006) Copyright © 2014 Terms and Conditions

Figure 13 Left arm to lead V2 reversal (yellow cables on some ECG machines). African Journal of Emergency Medicine 2014 4, 130-139DOI: (10.1016/j.afjem.2014.05.006) Copyright © 2014 Terms and Conditions