Journal article

Twisted Leads: The Footprints of Malpositioned Electrocardiographic Leads

Harry G Mond, Jason Garcia, Thungar Visagathilagar

HEART LUNG AND CIRCULATION | ELSEVIER SCIENCE INC | Published : 2016

Abstract

BACKGROUND: Malposition of electrocardiograph (ECG) leads is poorly recognised even by cardiologists who report tracings. When ECG tracings are regularly performed by doctors, nurses or technicians, lead malposition is very uncommon particularly if the operator can also interpret the findings. However, a significant proportion of 12-lead ECG tracings are today performed in a doctor's surgery or by private pathology services, often in haste without sufficient attention to correct lead positioning. As a result, a variety of malposition combinations occur, which in turn may confuse the interpreter of the ECG tracing, leading to incorrect diagnoses. OBJECTIVES: To investigate various combination..

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