Theoretical Basis of the EKG


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     Theoretical Basis
          Introduction
          EKG Leads
          Standard Leads

          Augmented Leads

          Pericardial Lead

    The EKG Seen from the standard & Augmented Leads

   The EKG Seen from the Pericardial Leads

          The Mean Electrical Axis
          Determining Axis 1
          Determining Axis 2
          Determining Axis 3
    Conducting system 
    The EKG waveform
    Determining heart rate 
         Quiz 2: EKG 
  Cardiac Arrhythmias
  Myocardial Infraction
  Glossary
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EKG Standard Leads

There are three of these leads which are usually designated as I, II and III.

They are all bipolar (i.e., they detect a change in electric potential between two points) and detect an electrical potential change in the frontal plane.

Lead I is between the right arm and left arm electrodes, the left arm being positive.

Lead II is between the right arm and left leg electrodes, the left leg being positive.

Lead III is between the left arm and left leg electrodes, the left leg again being positive.

 

A diagrammatic representation of these three leads is termed Einthoven's triangle (shown in blue below), after the Dutch doctor who first described the relationship. The central source of electrical potential in the triangle is the heart.

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