Common ECG Lead Placement Errors. Part II: Precordial Misplacements

Common ECG Lead Placement Errors. Part II: Precordial Misplacements

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Background: Electrocardiography is a very useful diagnostic tool. However, errors in placement of ECG leads can create artifacts, mimic pathologies, and hinder proper ECG interpretation. This is the second of a two-part series discussing how to recognize and avoid these errors. Methods: 12-lead ECGs...

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Main Authors: Allison V. Rosen, Sahil Koppikar, Catherine Shaw, Adrian Baranchuk
Format: Article
Language:English
Published: International Journal of Medical Students 2014-09-01
Series:International Journal of Medical Students
Subjects:
cardiology
electrocardiography
medical errors
precordial lead placement
medical education
Online Access:http://ijms.info/IJMS/article/view/96
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spelling doaj-d29ff6c5df9c4c7ab3bcad7fa4b7015d2020-11-25T03:17:49ZengInternational Journal of Medical StudentsInternational Journal of Medical Students2076-63272014-09-01239910310.5195/ijms.2014.9696Common ECG Lead Placement Errors. Part II: Precordial MisplacementsAllison V. Rosen0Sahil Koppikar1Catherine Shaw2Adrian Baranchuk3Queen’s University School of Medicine, Kingston, Ontario, CanadaDepartment of Internal Medicine, Kingston General Hospital, Queen’s University, Kingston, Ontario, Canada.Heart Rhythm Service, Kingston General Hospital, Queen’s University, Kingston, Ontario, CanadaHeart Rhythm Service, Kingston General Hospital, Queen’s University, Kingston, Ontario, Canada.Background: Electrocardiography is a very useful diagnostic tool. However, errors in placement of ECG leads can create artifacts, mimic pathologies, and hinder proper ECG interpretation. This is the second of a two-part series discussing how to recognize and avoid these errors. Methods: 12-lead ECGs were recorded in a single male healthy subject in his mid 20s. Various precordial lead misplacements were compared to ECG recordings from correct lead placement. Results: Precordial misplacements caused classical changes in ECG patterns. Techniques of differentiating these ECG patterns from true pathological findings were described. Conclusion: As in Part I of this series, recognition and interpretation of common ECG placement errors is critical in providing optimal patient care.http://ijms.info/IJMS/article/view/96cardiologyelectrocardiographymedical errorsprecordial lead placementmedical education
collection DOAJ
language English
format Article
sources DOAJ
author Allison V. Rosen
Sahil Koppikar
Catherine Shaw
Adrian Baranchuk
spellingShingle Allison V. Rosen
Sahil Koppikar
Catherine Shaw
Adrian Baranchuk
Common ECG Lead Placement Errors. Part II: Precordial Misplacements
International Journal of Medical Students
cardiology
electrocardiography
medical errors
precordial lead placement
medical education
author_facet Allison V. Rosen
Sahil Koppikar
Catherine Shaw
Adrian Baranchuk
author_sort Allison V. Rosen
title Common ECG Lead Placement Errors. Part II: Precordial Misplacements
title_short Common ECG Lead Placement Errors. Part II: Precordial Misplacements
title_full Common ECG Lead Placement Errors. Part II: Precordial Misplacements
title_fullStr Common ECG Lead Placement Errors. Part II: Precordial Misplacements
title_full_unstemmed Common ECG Lead Placement Errors. Part II: Precordial Misplacements
title_sort common ecg lead placement errors. part ii: precordial misplacements
publisher International Journal of Medical Students
series International Journal of Medical Students
issn 2076-6327
publishDate 2014-09-01
description Background: Electrocardiography is a very useful diagnostic tool. However, errors in placement of ECG leads can create artifacts, mimic pathologies, and hinder proper ECG interpretation. This is the second of a two-part series discussing how to recognize and avoid these errors. Methods: 12-lead ECGs were recorded in a single male healthy subject in his mid 20s. Various precordial lead misplacements were compared to ECG recordings from correct lead placement. Results: Precordial misplacements caused classical changes in ECG patterns. Techniques of differentiating these ECG patterns from true pathological findings were described. Conclusion: As in Part I of this series, recognition and interpretation of common ECG placement errors is critical in providing optimal patient care.
topic cardiology
electrocardiography
medical errors
precordial lead placement
medical education
url http://ijms.info/IJMS/article/view/96
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AT sahilkoppikar commonecgleadplacementerrorspartiiprecordialmisplacements
AT catherineshaw commonecgleadplacementerrorspartiiprecordialmisplacements
AT adrianbaranchuk commonecgleadplacementerrorspartiiprecordialmisplacements
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