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12 Lead ECG Basics

The Normal 12 Lead ECG

12 Lead ECG Basics


Objectives: List the 12 Leads of the 12 Lead
ECG Recognize the normal appearance of each lead

12 Lead ECG Basics


The leads of the 12 lead ECG are divided into 6 Limb Leads and 6 Precordial or Chest Leads.

12 Lead ECG Basics


Limb Leads: Vertical Plane Lead I Lead II Lead III aVR aVL aVF

12 Lead ECG Basics


Limb Leads
Lead I II III P wave upright upright upright QRS upright upright upright T wave upright upright upright

Leads 1, 2, 3

12 Lead ECG Basics


Augmented Limb Leads
Lead aVR aVL aVF P wave QRS T wave negative negative negative /upright upright upright upright upright upright upright

Augmented Limb Leads

12 Lead ECG Basics


Precordial Leads: horizontal plane V1 V2 V3 V4 V5 V6

12 Lead ECG Basics


Chest Leads
Lead V1 V2 V3 P wave upright/ biphasic upright/ biphasic upright QRS
small R wave / QS small R wave / QS equipahsic QRS upright

T wave upright upright upright

Precordial Leads

12 Lead ECG Basics


Chest Leads
Lead V4 V5 V6 P wave upright upright upright QRS upright upright upright T wave upright upright upright

Precordial Leads= V1-V6