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To record Normal
Human ECG by Using
Bipolar & Unipolar
Chest Leads
Dr. Irtaza Rehman
Author of the book “The Extraordinary Life”
Life lesson
Electrodes
Vs
Leads
Speeeeeeeddd
What is the Speed??
Lets Revise
• 1 small box (1 mm) is _______ sec at 50 mm/s.
• 1 small box ( 1mm) is _______ sec at 25 mm/s.
• 1 large box (5 mm) is _______ sec at 50 mm/s.
• 1 large box (5 mm) is _______ sec at 25 mm/s.
All ECG leads
analyze the
same electrical
events but from
different angles
This means that ECG
leads with similar
angles must display
similar ECG curves
More Electrodes = More
Leads = More
Sensitivity = Less
Specificity = Less
Feasibility
Game of Planes
Bipolar Limb Leads
Augmented unipolar limb leads
Anatomical aspects of the limb leads
• II, aVF and III: are called inferior limb
leads and they primarily observe the inferior
aspect of the left ventricle.
• aVL, I and -aVR: are called lateral limb
leads and they primarily observe the lateral
aspect of the left ventricle.
Chest Leads (Precordial Leads)
Anatomical aspects of the chest
leads
Jazakumullahu
Khair ♥
(May ALLAH swt reward
you with goodness)

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