12-Lead ECG

The 12-lead ECG provides 12 views of the heart. The 12 views are generated through only 10 electrodes. Four limb electrodes attach to the inner forearms and calves. The remaining 6 electrodes, labelled successively from V1 to V6, are attached to the chest to provide precordial views.

The systematic ECG interpretation of a 12 lead ECG takes a bit more time than the six seconds necessary to correctly name most single lead rhythm strips. While many excellent approaches to 12 lead interpretation exist, all methods include certain key points that are incorporated into a four-step system for 12 lead ECG analysis.

Table 6.1 Electrode Placement for the 12 Lead ECG

Table 6.1 details the electrode placement for the 12 lead ECG. Note that only ten electrodes are used for twelve lead views.

1. Six Second ECG Guidebook (2012), T Barill, p. 138-139

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  Six Second ECG Intensive Six Second ECG Mastery 12 Lead ECG & ACS 12 Lead Advanced
Prerequisite

None

None

Any Six Second ECG Course

12 Lead ECG & ACS

Time Frame

8 hours (1-day Course or 2 evenings)

20 hours 3-day Course

8 hours 1-day Course

8 hours 1-day Course

Tuition

$275

$675

$275

$275

Completion Card • • • •
Exam and Certification •
SkillStat 2U-able • • • •
Reference materials included • • • •
Dynamic ECG rhythm interpretation • • ○ ○
Static ECG rhythm interpretation • • ○ ○
Clinical Impact Mapping • • • ○
Acute Coronary Syndromes Overview • • ○
Acute Coronary Syndromes In-Depth • ○
ST Segment & T Wave Differential • ○
Identify Bundle Branch Blocks • ○
15 | 18 Lead View Mapping • •
Electrical Axis • •
R Wave Progression •
Left Bundle Branch Blocks with ACS •
Atypical Findings •
Acute Non-Ischemic Disease Conditions •
Special Cases •

•-included;     ○-reviewed
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