Common ECG Lead Placement Errors. Part I: Limb lead Reversals

Background: Electrocardiography is a very useful diagnostic tool. However, errors in placement of ECG leads can create artifacts, mimic pathologies, and hinder proper ECG interpretation. This is the second of a two-part series discussing how to recognize and avoid these errors. Methods: 12-lead ECGs...

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Bibliographic Details
Main Authors: Allison V. Rosen (Author), Sahil Koppikar (Author), Catherine Shaw (Author), Adrian Baranchuk (Author)
Format: Book
Published: University Library System, University of Pittsburgh, 2014-09-01T00:00:00Z.
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Summary:Background: Electrocardiography is a very useful diagnostic tool. However, errors in placement of ECG leads can create artifacts, mimic pathologies, and hinder proper ECG interpretation. This is the second of a two-part series discussing how to recognize and avoid these errors. Methods: 12-lead ECGs were recorded in a single male healthy subject in his mid 20s. Various precordial lead misplacements were compared to ECG recordings from correct lead placement. Results: Precordial misplacements caused classical changes in ECG patterns. Techniques of differentiating these ECG patterns from true pathological findings were described. Conclusion: As in Part I of this series, recognition and interpretation of common ECG placement errors is critical in providing optimal patient care.
Item Description:2076-6327
10.5195/ijms.2014.95