Clin Cardiol. 1990 May;13(5):346-8. doi: 10.1002/clc.4960130508.

Limb leads of the electrocardiogram: sequencing revisited.

Clinical cardiology

G E Dower, S B Nazzal, O Pahlm, W K Haistey, H L Marriott, R H Bullington, D Bullington

PMID: 2347126 DOI: 10.1002/clc.4960130508
Free Article

Abstract

The six limb leads are normally presented in a format the logic of which is traditional rather than anatomical and does not allow visual interpolation such as is customary with the six chest leads. The sequence: a VL, I, -aVR, II, aVF, III was suggested years ago, and is used in some European countries, particularly Sweden. It provides a better impression of the extent of the changes of inferior infarction and makes the rather neglected lead aVR much more useful, though reversed in polarity. It also provides a more direct indication of the electrical axis, and simplifies comparisons with the frontal plane vectorcardiogram. Because modern digital electrocardiographs can provide the sequenced format, this seems a good time to review the advantages of adopting it.

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MeSH terms

• Electrocardiography / instrumentation
• Electrocardiography / methods
• Equipment Design
• Humans
• Myocardial Infarction / diagnosis
• Software

Publication Types

• Journal Article
• Research Support, Non-U.S. Gov't

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