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Heart Sounds &

5 EKG Lead Placement

Memory Trick
APETM
Heart Sounds
“All Pigs Eat Too Much”
AORTIC PULMONIC
A - Aortic (2nd Intercostal Space
(2 Intercostal Space
nd
P - Pulmonic L Sternal Border)
R Sternal Border)
E - Erb’s point
T - Tricuspid
M - Mitral
TRICUSPID
(3nd or 4th Intercostal Space
L Sternal Border)

ERB’S POINT
(3rd Intercostal Space MITRAL
L Sternal Border) (5th Intercostal Space
Midclavicular Line)

5 EKG Lead Placement


QRS Complex

R
Memory Trick
P PR Segment ST Segment T White on Right
Smoke over Fire
Brown in the Middle
PR Interval
Grass under sky (white)
Q
S
QT Interval

Proper 12-Lead Placement for Left Side of Chest


v1 4th intercostal space to the right of the sternum

v2 4th intercostal space to the left of the sternum

v3 directly between the leads V2 & V4

v4 5th intercostal space at midclavicular line


v1 v2 v
3
v5 level with V4 at left anterior axillary line v4R v6
v4 v5

v6 level with V5 at left midaxilary line


(directly under the midpoint of the armpit)
v4R 5th intercostal space, right midclavicular line

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