L2: Leads Flashcards
Inferior leads
II, III, aVF
What type of lead:
V1
Unipolar lead
Augmented limb leads…
small waveforms enhanced by machine. 1 (+) lead, 2 ground leads
What type of lead:
V4
Unipolar lead
Anterior leads
V1-V4
What type of lead:
aVL
Augmented limb leads
Bipolar leads…
use one (+) and one (-) electrode
PLUS
a 3rd electrode (“ground”
aVR degrees
(-)150
Lead II goes from
right arm (-) to left leg (+)
Waveforms in MCL1 are
Downward
Lead I goes from
right arm (-) to left arm (+)
Leads showing horizontal plane
Precordial leads V1-V6
V5 is placed ____
anterior axillary line, same horizontal plane as V4
Lead II degrees
60
aVL points towards
left arm
What type of lead:
V2
Unipolar lead
V6 is placed ____
midaxillary line, same horizontal plane as V4
V3 is placed ____ and reflects activity at _____
halfway between V2 and V4
septum
What type of lead:
aVR
Augmented limb leads
aVF points towards
left leg (foot)
Waveforms in MCL6 are
Upright
Precordial leads _____ show QRS as biphasic
V3, V4
What type of lead:
V6
Unipolar lead
Lateral leads
I, aVL, V5-V6
Unipolar leads
use a (+) electrode a reference point, the center of the heart, calculated by the ECG machine
What type of lead:
V5
Unipolar lead
Precordial leads _____ show QRS as (-)
V1, V2
Lead most aligned with heart’s normal electrical activity
Lead iI
MCL1
(+) electrode at V1 position
Lead III degrees
120
Precordial leads ______ show QRS as (+)
V5, V6
aVR shows
RA (+) → Views base of heart→ atria and great vessels
What type of lead:
I
Bipolar lead
What type of lead:
III
Bipolar lead
aVL shows
LA(+) → views lateral wall of left ventricle
What type of lead:
aVF
Augmented limb leads
aVF shoes
LL (+) → views inferior wall of left ventricle
Lead III goes from
left arm (-) to left leg (+)
aVF degrees
(+)90
Lead I degrees
0
MCL6
(+) electrode at V6 position
V2 is placed ____ and reflects activity at _____
4th ICS on left of sternum
right ventricle
aVR points towards
right arm
What type of lead:
II
Bipolar lead
Leads showing frontal plane
I, II, III, aVR, aVF
V4 is placed ____ and reflects activity at _____
5th ICS in MCL
septum
What type of lead:
V3
Unipolar lead
aVL degrees
(-)30
V1 is placed ____ and reflects activity at _____
4th ICS on right of sternum
right ventricle
What are modified chest leads used for?
Telemetry, monitoring in ED/ICU
MCL1 + MCL6