AHA Diagnostic ECG Electrode Placement Guide Rev A

AHA Diagnostic ECG Electrode Placement The quality of an ECG is dependent on the preparation and the resistance between the skin and the electrode. To ensure a good quality ECG and minimize the skin/electrode resistance, remember the following points: 1.) Ensure that the patient is warm and relaxed 2.) Shave electrode area before cleaning 3.) Thoroughly clean the area with alcohol 4.) Let dry prior to applying electrode

Resting ECG RA and LA electrodes should be placed on the wrists. RL and LL electrodes should be placed a few inches above the ankle.

Lead

Electrode Placement

V1

Fourth intercostal space at the right border of the sternum

V2

Fourth intercostal space at the left border of the sternum

V3

Midway between locations V2 and V4

V4

At the mid-clavicular line in the fifth intercostal space

V5

At the anterior axillary line on the same horizontal level as V4

V6

At the mid-axillary line on the same horizontal level as V4 and V5

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Advancing Frontline Care™ 71300-0000 Rev. A