SlideShare a Scribd company logo
1 of 7
Lead errors Introduction
[object Object],[object Object],[object Object]
 
Rudiger analyzed 838 ECGs at the cardiology outpatient clinic and the ICU of the London University College. The frequency of ECG artifacts due to switched electrodes was 0.4% at the outpatient clinic and 4% at the ICU  Rudiger A,Hellermann JP, Mukherjee R, Follath F, Turina J. Electrocardiographic artifacts due to electrode misplacement and their frequency in clinical settings. Am J Emer Med (2007) 25(2):174-8
[object Object],[object Object],[object Object]
ERRORS INVOLVING THE LIMB LEADS Misplacement of the Einthoven limb leads - lead reversal, common (eg. Right arm- left arm reversal) - more complex misplacements (uncommon) Miplacement of the ground cable  (eg. Right arm – right leg cable reversal)  Detached or broken electrode/cable Ground
UNIPOLAR CHEST LEADS  ,[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

Career In EKG Certification Courses
Career In EKG Certification Courses Career In EKG Certification Courses
Career In EKG Certification Courses ACS
 
Os in elderly
Os in elderlyOs in elderly
Os in elderlyCa Mü
 
How and why do we require conducting electrical safety testing?
 How and why do we require conducting electrical safety testing? How and why do we require conducting electrical safety testing?
How and why do we require conducting electrical safety testing?Pronk Technologies
 
OT_Biotelemetry_System_fixed
OT_Biotelemetry_System_fixedOT_Biotelemetry_System_fixed
OT_Biotelemetry_System_fixedNikolay Bodunov
 
Cardiac Devices Presentationv3-1
Cardiac Devices Presentationv3-1Cardiac Devices Presentationv3-1
Cardiac Devices Presentationv3-1Mark Lambert
 
1.4 Zaleski Early Warning Notifications--Abridged
1.4 Zaleski Early Warning Notifications--Abridged1.4 Zaleski Early Warning Notifications--Abridged
1.4 Zaleski Early Warning Notifications--AbridgedJohn Zaleski, Ph.D., CPHIMS
 
Final Documentation - Full
Final Documentation - FullFinal Documentation - Full
Final Documentation - FullEmeel Gayed
 
What is a Cardiac Defibrillator?
What is a Cardiac Defibrillator?What is a Cardiac Defibrillator?
What is a Cardiac Defibrillator?Jose Osorio
 
VectraplexECGFinal Brochure 3.1
VectraplexECGFinal Brochure 3.1VectraplexECGFinal Brochure 3.1
VectraplexECGFinal Brochure 3.1Josh Skinner
 

What's hot (20)

Cardiac electrophysiology master class
Cardiac electrophysiology master classCardiac electrophysiology master class
Cardiac electrophysiology master class
 
Biomedical Equipments
Biomedical EquipmentsBiomedical Equipments
Biomedical Equipments
 
Osborne wave(J wave) and j point in ECG
Osborne wave(J wave) and j point  in ECGOsborne wave(J wave) and j point  in ECG
Osborne wave(J wave) and j point in ECG
 
Pace maker professor md toufiqur rahman
Pace maker professor md  toufiqur rahman Pace maker professor md  toufiqur rahman
Pace maker professor md toufiqur rahman
 
Career In EKG Certification Courses
Career In EKG Certification Courses Career In EKG Certification Courses
Career In EKG Certification Courses
 
Os in elderly
Os in elderlyOs in elderly
Os in elderly
 
Cardiac monitoring & ECG
Cardiac monitoring & ECGCardiac monitoring & ECG
Cardiac monitoring & ECG
 
How and why do we require conducting electrical safety testing?
 How and why do we require conducting electrical safety testing? How and why do we require conducting electrical safety testing?
How and why do we require conducting electrical safety testing?
 
OT_Biotelemetry_System_fixed
OT_Biotelemetry_System_fixedOT_Biotelemetry_System_fixed
OT_Biotelemetry_System_fixed
 
Cardiac Devices Presentationv3-1
Cardiac Devices Presentationv3-1Cardiac Devices Presentationv3-1
Cardiac Devices Presentationv3-1
 
1.4 Zaleski Early Warning Notifications--Abridged
1.4 Zaleski Early Warning Notifications--Abridged1.4 Zaleski Early Warning Notifications--Abridged
1.4 Zaleski Early Warning Notifications--Abridged
 
Final Documentation - Full
Final Documentation - FullFinal Documentation - Full
Final Documentation - Full
 
Cardiovascular System
Cardiovascular SystemCardiovascular System
Cardiovascular System
 
Cardiac monitoring
Cardiac monitoringCardiac monitoring
Cardiac monitoring
 
What is a Cardiac Defibrillator?
What is a Cardiac Defibrillator?What is a Cardiac Defibrillator?
What is a Cardiac Defibrillator?
 
The pacemaker
The pacemakerThe pacemaker
The pacemaker
 
Ng_autonomic_CHF
Ng_autonomic_CHFNg_autonomic_CHF
Ng_autonomic_CHF
 
VectraplexECGFinal Brochure 3.1
VectraplexECGFinal Brochure 3.1VectraplexECGFinal Brochure 3.1
VectraplexECGFinal Brochure 3.1
 
Tesi Nicola Lamonaca.9
Tesi Nicola Lamonaca.9Tesi Nicola Lamonaca.9
Tesi Nicola Lamonaca.9
 
Cardiac pacemakers part-I
Cardiac pacemakers part-ICardiac pacemakers part-I
Cardiac pacemakers part-I
 

Similar to Lead errors introduction

Similar to Lead errors introduction (20)

ELECTROCARDIOGRAM. pptx
ELECTROCARDIOGRAM. pptxELECTROCARDIOGRAM. pptx
ELECTROCARDIOGRAM. pptx
 
ECG ARTIFACTS AND PITFALLS
ECG ARTIFACTS AND PITFALLS  ECG ARTIFACTS AND PITFALLS
ECG ARTIFACTS AND PITFALLS
 
Ecg by raman
Ecg by ramanEcg by raman
Ecg by raman
 
ECG.pptx
ECG.pptxECG.pptx
ECG.pptx
 
Factors
FactorsFactors
Factors
 
Electrocardiogram pptx
Electrocardiogram pptxElectrocardiogram pptx
Electrocardiogram pptx
 
Introduction to Electrocardiography
Introduction to ElectrocardiographyIntroduction to Electrocardiography
Introduction to Electrocardiography
 
Ecg basics and interpretation
Ecg basics and interpretationEcg basics and interpretation
Ecg basics and interpretation
 
Ppt recording on ecocardiogram
Ppt recording on ecocardiogramPpt recording on ecocardiogram
Ppt recording on ecocardiogram
 
BASICS OF ECG pptx.pptx
BASICS OF ECG pptx.pptxBASICS OF ECG pptx.pptx
BASICS OF ECG pptx.pptx
 
ECG Fundamentals.pptx
ECG Fundamentals.pptxECG Fundamentals.pptx
ECG Fundamentals.pptx
 
Out flow tract ventricular tachycardia
Out flow tract ventricular tachycardiaOut flow tract ventricular tachycardia
Out flow tract ventricular tachycardia
 
ECG.pptx
ECG.pptxECG.pptx
ECG.pptx
 
ECG
ECGECG
ECG
 
ARTIFACTS ON ECG RECORDING
ARTIFACTS ON ECG RECORDINGARTIFACTS ON ECG RECORDING
ARTIFACTS ON ECG RECORDING
 
Placement of ecg leads during exercise (cardio ppt)
Placement of ecg leads during exercise (cardio ppt)Placement of ecg leads during exercise (cardio ppt)
Placement of ecg leads during exercise (cardio ppt)
 
unit i
 unit i unit i
unit i
 
ECG
ECGECG
ECG
 
DENTAL ARMAMENTARIUMS AND ITS EFFECT ON CARDIAC ARMAMENTARIUMS AND ITS FUNCTI...
DENTAL ARMAMENTARIUMS AND ITS EFFECT ON CARDIAC ARMAMENTARIUMS AND ITS FUNCTI...DENTAL ARMAMENTARIUMS AND ITS EFFECT ON CARDIAC ARMAMENTARIUMS AND ITS FUNCTI...
DENTAL ARMAMENTARIUMS AND ITS EFFECT ON CARDIAC ARMAMENTARIUMS AND ITS FUNCTI...
 
Fundamentals of ECG -Introduction
Fundamentals of ECG -IntroductionFundamentals of ECG -Introduction
Fundamentals of ECG -Introduction
 

More from Anas Nader

ECG #14 - ID 123 - Atrial Tachycardia
ECG #14 - ID 123 - Atrial Tachycardia ECG #14 - ID 123 - Atrial Tachycardia
ECG #14 - ID 123 - Atrial Tachycardia Anas Nader
 
ECG #13 - ID 419 - EAR IRBBB
ECG #13 - ID 419 - EAR IRBBB ECG #13 - ID 419 - EAR IRBBB
ECG #13 - ID 419 - EAR IRBBB Anas Nader
 
ECG #12 - ID 111 - CHB
ECG #12 - ID 111 - CHB			ECG #12 - ID 111 - CHB
ECG #12 - ID 111 - CHB Anas Nader
 
ECG #11 - ID 108 - 2nd degree AV block
ECG #11 - ID 108 - 2nd degree AV blockECG #11 - ID 108 - 2nd degree AV block
ECG #11 - ID 108 - 2nd degree AV blockAnas Nader
 
ECG #10 - ID122 - Atrial Flutter
ECG #10 - ID122 -  Atrial Flutter 				ECG #10 - ID122 -  Atrial Flutter
ECG #10 - ID122 - Atrial Flutter Anas Nader
 
ECG #9 - ID594a - acute ASMI
ECG #9 - ID594a - acute ASMI ECG #9 - ID594a - acute ASMI
ECG #9 - ID594a - acute ASMI Anas Nader
 
ECG#8 - ID478 - LVH BAE
ECG#8 - ID478 - LVH BAEECG#8 - ID478 - LVH BAE
ECG#8 - ID478 - LVH BAEAnas Nader
 
ECG #7 - ID 279 - RVH
ECG #7 - ID 279 - RVHECG #7 - ID 279 - RVH
ECG #7 - ID 279 - RVHAnas Nader
 
ECG #6 - ID 168 LVH
ECG #6 - ID 168 LVHECG #6 - ID 168 LVH
ECG #6 - ID 168 LVHAnas Nader
 
ECG #2 - ID 352 - Premature Atrial Complexes
ECG #2 - ID 352 - Premature Atrial Complexes ECG #2 - ID 352 - Premature Atrial Complexes
ECG #2 - ID 352 - Premature Atrial Complexes Anas Nader
 
ECG #1 - ID 380 – Normal ECG
ECG #1 - ID 380 – Normal ECG ECG #1 - ID 380 – Normal ECG
ECG #1 - ID 380 – Normal ECG Anas Nader
 
ECG #5 - ID 168 - Left bundle branch block
ECG #5 - ID 168 - Left bundle branch block ECG #5 - ID 168 - Left bundle branch block
ECG #5 - ID 168 - Left bundle branch block Anas Nader
 
ECG #4 - ID 383 – Atrial fibrillation
ECG #4 - ID 383 – Atrial fibrillation ECG #4 - ID 383 – Atrial fibrillation
ECG #4 - ID 383 – Atrial fibrillation Anas Nader
 
ID 352 –Sinus rhythm With premature atrial complex
ID 352 –Sinus rhythm With premature atrial complexID 352 –Sinus rhythm With premature atrial complex
ID 352 –Sinus rhythm With premature atrial complexAnas Nader
 
Atrio-ventricular dissociation
Atrio-ventricular dissociationAtrio-ventricular dissociation
Atrio-ventricular dissociationAnas Nader
 
Lead errors: reversal of limb leads
Lead errors: reversal of limb leadsLead errors: reversal of limb leads
Lead errors: reversal of limb leadsAnas Nader
 
Stepwise interpretation of ECG - #9 no Dx ID 594
Stepwise interpretation of ECG - #9 no Dx ID 594Stepwise interpretation of ECG - #9 no Dx ID 594
Stepwise interpretation of ECG - #9 no Dx ID 594Anas Nader
 
Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Anas Nader
 
Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Anas Nader
 
Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Anas Nader
 

More from Anas Nader (20)

ECG #14 - ID 123 - Atrial Tachycardia
ECG #14 - ID 123 - Atrial Tachycardia ECG #14 - ID 123 - Atrial Tachycardia
ECG #14 - ID 123 - Atrial Tachycardia
 
ECG #13 - ID 419 - EAR IRBBB
ECG #13 - ID 419 - EAR IRBBB ECG #13 - ID 419 - EAR IRBBB
ECG #13 - ID 419 - EAR IRBBB
 
ECG #12 - ID 111 - CHB
ECG #12 - ID 111 - CHB			ECG #12 - ID 111 - CHB
ECG #12 - ID 111 - CHB
 
ECG #11 - ID 108 - 2nd degree AV block
ECG #11 - ID 108 - 2nd degree AV blockECG #11 - ID 108 - 2nd degree AV block
ECG #11 - ID 108 - 2nd degree AV block
 
ECG #10 - ID122 - Atrial Flutter
ECG #10 - ID122 -  Atrial Flutter 				ECG #10 - ID122 -  Atrial Flutter
ECG #10 - ID122 - Atrial Flutter
 
ECG #9 - ID594a - acute ASMI
ECG #9 - ID594a - acute ASMI ECG #9 - ID594a - acute ASMI
ECG #9 - ID594a - acute ASMI
 
ECG#8 - ID478 - LVH BAE
ECG#8 - ID478 - LVH BAEECG#8 - ID478 - LVH BAE
ECG#8 - ID478 - LVH BAE
 
ECG #7 - ID 279 - RVH
ECG #7 - ID 279 - RVHECG #7 - ID 279 - RVH
ECG #7 - ID 279 - RVH
 
ECG #6 - ID 168 LVH
ECG #6 - ID 168 LVHECG #6 - ID 168 LVH
ECG #6 - ID 168 LVH
 
ECG #2 - ID 352 - Premature Atrial Complexes
ECG #2 - ID 352 - Premature Atrial Complexes ECG #2 - ID 352 - Premature Atrial Complexes
ECG #2 - ID 352 - Premature Atrial Complexes
 
ECG #1 - ID 380 – Normal ECG
ECG #1 - ID 380 – Normal ECG ECG #1 - ID 380 – Normal ECG
ECG #1 - ID 380 – Normal ECG
 
ECG #5 - ID 168 - Left bundle branch block
ECG #5 - ID 168 - Left bundle branch block ECG #5 - ID 168 - Left bundle branch block
ECG #5 - ID 168 - Left bundle branch block
 
ECG #4 - ID 383 – Atrial fibrillation
ECG #4 - ID 383 – Atrial fibrillation ECG #4 - ID 383 – Atrial fibrillation
ECG #4 - ID 383 – Atrial fibrillation
 
ID 352 –Sinus rhythm With premature atrial complex
ID 352 –Sinus rhythm With premature atrial complexID 352 –Sinus rhythm With premature atrial complex
ID 352 –Sinus rhythm With premature atrial complex
 
Atrio-ventricular dissociation
Atrio-ventricular dissociationAtrio-ventricular dissociation
Atrio-ventricular dissociation
 
Lead errors: reversal of limb leads
Lead errors: reversal of limb leadsLead errors: reversal of limb leads
Lead errors: reversal of limb leads
 
Stepwise interpretation of ECG - #9 no Dx ID 594
Stepwise interpretation of ECG - #9 no Dx ID 594Stepwise interpretation of ECG - #9 no Dx ID 594
Stepwise interpretation of ECG - #9 no Dx ID 594
 
Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419
 
Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419
 
Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419Stepwise interpretation of ECG - #13 no Dx ID 419
Stepwise interpretation of ECG - #13 no Dx ID 419
 

Lead errors introduction

  • 2.
  • 3.  
  • 4. Rudiger analyzed 838 ECGs at the cardiology outpatient clinic and the ICU of the London University College. The frequency of ECG artifacts due to switched electrodes was 0.4% at the outpatient clinic and 4% at the ICU Rudiger A,Hellermann JP, Mukherjee R, Follath F, Turina J. Electrocardiographic artifacts due to electrode misplacement and their frequency in clinical settings. Am J Emer Med (2007) 25(2):174-8
  • 5.
  • 6. ERRORS INVOLVING THE LIMB LEADS Misplacement of the Einthoven limb leads - lead reversal, common (eg. Right arm- left arm reversal) - more complex misplacements (uncommon) Miplacement of the ground cable (eg. Right arm – right leg cable reversal) Detached or broken electrode/cable Ground
  • 7.