Interpolated 6 Lead System

In an effort to reap the advantages of 12 lead views while keeping the monitoring system practical, reduced-lead set technologies have been developed using five or six lead wires. General Electric Medical Systems developed the Interpolated 12 lead system using a 6-cable system.

In an effort to reap the advantages of 12 lead views while keeping the monitoring system practical, reduced-lead set technologies have been developed using five or six lead wires. Phillips Medical Systems developed the EASI (TM) lead system using a 5-cable system to estimate a 12 lead ECG. General Electric Medical Systems developed the Interpolated 12 lead system using a 6-cable system.

The interpolated 6 wire ECG system can also deliver real-time 12 lead ECG monitoring. The electrode configuration is close to the standard 5 lead wire ECG system with four limb electrodes but with two precordial electrodes located at lead V1 and lead V5 (refer to Figure 4.7). The interpolated lead system is offered with Marquette cardiac monitoring systems.

Regardless of the ECG lead system used, effective dysrhythmia and ischemia monitoring is possible only with quality ECG tracings. The use of fresh electrodes and the preparation of the patient’s skin are all important steps to reduce motion artifact. Accurate placement of the ECG electrodes ensure consistent ECG readings that are worthy of comparison.

If at all possible, take advantage of multiple lead views including lead V1. Multiple lead views, particularly the reduced-lead set 12 lead ECG, are superior to a single lead view whatever the purpose of ECG monitoring. Before moving ahead, challenge yourself to a flash quiz on the cardiac monitoring system.

Figure 4.7 Interpolated 12 Lead System Using a 6 Wire Cable

Figure 4.7 illustrates General Electric Medical Systems’ interpolated 12 lead ECG cardiac monitoring system. This reduced lead set technology estimates a real-time 12 lead ECG system.

1. Six Second ECG Guidebook (2012), T Barill, p. 71-73

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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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