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Leads Activity Inferior leads Leads II, III and aVF Look at electrical activity from the vantage point of the inferior surface (diaphragmatic surface of heart) Lateral leads I, aVL, V 5 and V 6: Look at the electrical activity from the vantage point of the lateral wall of left ventricle: Septal leads V 1 and V 2
The anterior axillary line [1] is a coronal line on the anterior torso marked by the anterior axillary fold. It's the imaginary line that runs down from the point midway between the middle of the clavicle and the lateral end of the clavicle. The V 5 ECG lead is placed on the anterior axillary line, horizontally even with V 4.
The hexaxial reference system is a diagram that is used to determine the heart's electrical axis in the frontal plane.. In electrocardiography, left axis deviation (LAD) is a condition wherein the mean electrical axis of ventricular contraction of the heart lies in a frontal plane direction between −30° and −90°.
12-lead electrocardiogram showing ST-segment elevation (orange) in I, aVL and V1–V5 with reciprocal changes (blue) in the inferior leads, indicative of an anterior wall myocardial infarction. When there is a blockage of the coronary artery, there will be lack of oxygen supply to all three layers of cardiac muscle (transmural ischemia).
The 2018 European Society of Cardiology/American College of Cardiology Foundation/American Heart Association/World Health Federation Universal Definition of Myocardial Infarction for the ECG diagnosis of the ST segment elevation type of acute myocardial infarction require new ST elevation at J point of at least 1mm (0.1 mV) in two contiguous leads with the cut-points: ≥1 mm in all leads ...
rS pattern (small r, deep S) in the inferior leads II, III, and aVF; Delayed intrinsicoid deflection in lead aVL (> 0.045 s) LAFB cannot be diagnosed when a prior inferior wall myocardial infarction (IMI) is evident on the ECG. IMI can also cause extreme left-axis deviation, but will manifest with Q-waves in the inferior leads II, III, and aVF.
Blockage of the left posterior fascicle would lead to activation of the anterior portion of the left ventricle followed by activation of the rest of the ventricle in a superior to inferior direction and directed towards the right. This would lead to right axis deviation findings on an ECG. [6]
12-lead electrocardiogram showing ST-segment elevation (orange) in I, aVL and V1-V5 with reciprocal changes (blue) in the inferior leads, indicative of an anterior wall myocardial infarction. The primary purpose of the electrocardiogram is to detect ischemia or acute coronary injury in broad, symptomatic emergency department populations.