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ECG BASICS
Dr.G.VENKATA RAMANA
MBBS DNB FAMILY MEDICINE
Make the ECG recording at a paper speed of 25 mm/s and a gain setting of
10 mm/mV
How to Perform an ECG recording?
• Explain the procedure to the patient and
obtain their consent
• Ensure the patient is comfortable
• Prepare the skin before applying the
electrodes
• Removal of chest hair
• Skin cleansing
• Place the electrodes correctly
Posterior leads
Leads V7-9 are placed on the posterior chest wall in the following positions:
•V7 – Left posterior axillary line, in the same horizontal plane as V6
•V8 – Tip of the left scapula, in the same horizontal plane as V6
•V9 – Left paraspinal region, in the same horizontal plane as V6
• ECG machines record the electrical activity of the heart
• They also pick up the activity of other muscles, such as skeletal
muscle, but are designed to filter this out as much as possible
• Encouraging patients to relax during an ECG recording helps to
obtain a clear trace
• HOW TO TAKE ECG IN DEXTROCARDIA?
• Record ECG with the chest electrodes positioned in a mirror image
on the right side of the chest
• Labelled clearly with V3R, V4R etc. to demonstrate that right-sided
chest electrodes have been used
• Reverse the limb electrodes too
ECG BASICS , HOW TO TAKE ECG AND PLACEMENT OF LEADS

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ECG BASICS , HOW TO TAKE ECG AND PLACEMENT OF LEADS

  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Make the ECG recording at a paper speed of 25 mm/s and a gain setting of 10 mm/mV
  • 9.
  • 10. How to Perform an ECG recording? • Explain the procedure to the patient and obtain their consent • Ensure the patient is comfortable • Prepare the skin before applying the electrodes • Removal of chest hair • Skin cleansing • Place the electrodes correctly
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19. Posterior leads Leads V7-9 are placed on the posterior chest wall in the following positions: •V7 – Left posterior axillary line, in the same horizontal plane as V6 •V8 – Tip of the left scapula, in the same horizontal plane as V6 •V9 – Left paraspinal region, in the same horizontal plane as V6
  • 20.
  • 21.
  • 22.
  • 23. • ECG machines record the electrical activity of the heart • They also pick up the activity of other muscles, such as skeletal muscle, but are designed to filter this out as much as possible • Encouraging patients to relax during an ECG recording helps to obtain a clear trace
  • 24.
  • 25. • HOW TO TAKE ECG IN DEXTROCARDIA? • Record ECG with the chest electrodes positioned in a mirror image on the right side of the chest • Labelled clearly with V3R, V4R etc. to demonstrate that right-sided chest electrodes have been used • Reverse the limb electrodes too