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Here you label one electrode as positive and the other negative and
you measure the current between them.
To look at the bottom of the heart we use the inferior leads, and to look
at the side of the heart we can use the high lateral leads.
V1 and V2 are the septal leads, V3 V4 are the anterior (all of these can
also be called the anterior leads)
Since there is a block in V1 its going to take longer therefore its bigger.