Vertical Displacement of the Precordial Leads Alters Electrocardiographic Morphology

Indian Heart Journal

Volumn 55, Issue 4, 2003, Pages 339-343

  Lateef, Fatimah ^a   Nimbkar, Narayan ^b   Da, Zhuang Kun ^b   Min, Foo Rui ^b  

^a SINGAPORE GENERAL HOSPITAL   (Singapore)

^b NONE

Author keywords

Electrocardiography; Lead placement; Precordial leads

Indexed keywords

ADULT; AGED; ARTICLE; CARDIOVASCULAR PARAMETERS; CONTROLLED STUDY; ELECTROCARDIOGRAM; ELECTRODE; FEMALE; HUMAN; HUMAN EXPERIMENT; MALE; MORPHOLOGY; NORMAL HUMAN; QRS COMPLEX; R WAVE; S WAVE; SKULL; ST SEGMENT; T WAVE;

ADULT; AGED; CONFIDENCE INTERVALS; ELECTROCARDIOGRAPHY; ELECTRODES; FEMALE; HUMANS; MALE; MIDDLE AGED; MOVEMENT; REFERENCE VALUES;

EID: 0344845276     PISSN: 00194832     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (20)

1. Einthoven W. [Weiteresinber das elektrokardiogramm]. Arch Gesamte Physiol 1908; 172: 517-520
2. Fisch C. Evolution of the clinical electrocardiogram. J Am Coll Cardiol 1989; 14: 1127-1138
3. Friedberg CK, Zager A. "Non-specific" ST and T wave changes. Clin All Round 1961; 23: 655-661
4. Hurst JW. Images in cardiovascular medicine. "Switched" precordial leads. Circulation 2000; 101: 2870-2871
5. Kadish AH, Buxton AE, Kennedy HL, Knight BP, Mason JW, Schuger CD, et al. ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography. A report of the ACC/AHA/ACP-ASIM Task Force on Clinical Competence (ACC/AHA Committee to Develop a Clinical Competence Statement on Electrocardiography and Ambulatory Electrocardiography). J Am Coll Cardiol 2001; 38: 2091-2100
6. Rautaharju PM, Park L, Rautaharju FS, Crow R. A standardized procedure for locating and documenting ECG chest electrode positions: consideration of the effect of breast tissue on ECG amplitudes in women. J Electrocardiol 1998; 31: 17-29
7. Rautaharju PM, Prineas RJ, Crow RS, Seale D, Furberg C. The effect of modified limb electrode positions on electrocardiographic wave amplitudes. J Electrocardiol 1980; 13: 109-113
8. Takuma K, Hori S, Sasaki J, Shinozawa Y, Yoshikawa T, Hand S, et al. An alternative limb lead system for electrocardiographs in emergency patients. Am J Emerg Med 1995; 13: 514-517
9. Chia BL. Ischaemic heart disease. In: Clinical electrocardiography. 3rd ed. World Scientific Publishers. pp. 11-37
10. Michaelides AP, Vyssoulis GP, Paraskevas PG, Skouros CG, Tsiamis EG, Toutouzas PK. Significance of R wave changes in exercise-induced supraventricular extrasystoles. Angiographic correlates. J Electrocardiol 1993; 26: 197-206
11. Barnhill JE 3rd, Tendera M, Cade H, Campbell WB, Smith RF. Depolarization changes early in the course of myocardial infarction: significance of changes in the terminal portion of the QRS complex. J Am Coll Cardiol 1989; 14: 143-149
12. Feldman T, Borow RM, Neumann A, Lang RM, Childers RW. Relation of electrocardiographic R-wave amplitude to changes in left ventricular chamber size and position in normal subjects. Am J Cardiol 1985; 55: 1168-1174
13. Adams MG, Drew BJ. Body position effects on the ECG: implications for ischemia monitoring. J Electrocardiol 1997; 30: 285-291
14. Bachman S, Sparrow D, Smith LK. Effects of aging on the electrocardiogram. Am J Cardiol 1981; 48: 513-516
15. Mansi IA, Nash IS. Ethnic differences in the ST segment of the electrocardiogram: a comparative study among six ethnic groups. Am J Emerg Med 2001; 19: 541-554
16. Chen CY, Chiang BN, Macfarlane PW. Normal limits of the electrocardiogram in a Chinese population. J Electrocardiol 1989; 22: 1-15
17. Herman MV, Ingram DA, Levy JA, Cook JR, Athans RJ. Variability of electrocardiographic precordial lead placement: a method to improve accuracy and reliability. Clin Cardiol 1991; 14: 469-476
18. Bupp JE, Dunger M, Lawrence C, Wingate S. Placement of cardiac electrodes: written, simulated, and actual accuracy. Am J Crit Care 1997; 6: 457-462
19. McConnell EA. Applying cardiac monitor electrodes. Nursing 1998; 28: 26
20. Bell SJ, Clifton J, Pease J, Greenfield JC, Leggett S, Maynard C, et al: The evaluation of a precordial ECG BELT: technologist satisfaction and accuracy of recording. J Electrocardiol 2001; 34: 155-159