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Limb leads-6
3 Bipolar limb leads
( Standard limb leads )-I, II,& III.
3 Unipolar Augmented leads
(aVR, aVL&aVF). Obtained through 4
electrodes placed on the right arm,
right leg, left arm & left leg.
Chest leads-6V1,V2,V3,V4,V5&V6
V1-Electrode positioned in the 4th
intercostal space in the right sternal border.
V2-4thICS in the left sternal border.
V3-Midway between V2&V4.
V4-5thICS in the left midclavicular line.
V5-Same level as V4, anterior axillary line.
V6-Same level as V4 & V5, midaxillary line.
Normal ECG
The electrical activity of the cardiac cycle
is characterized by five primary wave
deflections, designated by letters
P, Q, R, S, T.
P wave
Represents atrial contraction. Shape of the
‘P’ wave remains the same unless it is
generated from a different focus.
QRS complex
Represents ventricular depolarization and
is composed of 3 waves, the Q, R & S.
Q wave is the first negative deflection.
R wave is the first positive deflection after
the P wave. S wave is the negative deflection
following R wave. It is about 0.08 to 0.12 sec,
represented by 3 small squares.
PR interval
Measured from the beginning of P wave
to the beginning of QRS complex.
The normal PR interval is 0.12 -0.2 sec,
represented by 3-5 small squares. The time
it takes for the impulse to spread from
atria to ventricles.
ST segment
An isoelectric line representing early
ventricular repolarisation. Normally not
elevated >1mm or depressed > 0.5mm.
T wave
Represents ventricular repolarisation.
Usually positive, rounded, & slightly
Asymmetric.
U wave
Results from slow repolarisation of
ventricular Purkinje fibers. More common
in lead V3. Hypokalemia.

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ecg(1).pptx

  • 1. Limb leads-6 3 Bipolar limb leads ( Standard limb leads )-I, II,& III. 3 Unipolar Augmented leads (aVR, aVL&aVF). Obtained through 4 electrodes placed on the right arm, right leg, left arm & left leg.
  • 2. Chest leads-6V1,V2,V3,V4,V5&V6 V1-Electrode positioned in the 4th intercostal space in the right sternal border. V2-4thICS in the left sternal border. V3-Midway between V2&V4. V4-5thICS in the left midclavicular line. V5-Same level as V4, anterior axillary line. V6-Same level as V4 & V5, midaxillary line.
  • 3.
  • 4.
  • 5.
  • 7. The electrical activity of the cardiac cycle is characterized by five primary wave deflections, designated by letters P, Q, R, S, T.
  • 8. P wave Represents atrial contraction. Shape of the ‘P’ wave remains the same unless it is generated from a different focus. QRS complex Represents ventricular depolarization and is composed of 3 waves, the Q, R & S. Q wave is the first negative deflection. R wave is the first positive deflection after the P wave. S wave is the negative deflection following R wave. It is about 0.08 to 0.12 sec, represented by 3 small squares.
  • 9. PR interval Measured from the beginning of P wave to the beginning of QRS complex. The normal PR interval is 0.12 -0.2 sec, represented by 3-5 small squares. The time it takes for the impulse to spread from atria to ventricles.
  • 10. ST segment An isoelectric line representing early ventricular repolarisation. Normally not elevated >1mm or depressed > 0.5mm. T wave Represents ventricular repolarisation. Usually positive, rounded, & slightly Asymmetric. U wave Results from slow repolarisation of ventricular Purkinje fibers. More common in lead V3. Hypokalemia.