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there is a huge misconception when it comes to cardiology — that your level of licensure is directly linked to your ability to understand the complexities of the heart. the 12-lead electrocardiogram (ecg) is widely used in both the prehospital and hospital settings to capture the electrical activity of the heart. incorrect electrode lead placement can result in a bad tracing of electrical activity and could possibly result in an inaccurate or incorrect diagnosis. a lead is a unique look at the electrical activity of the heart.
some use the words interchangeably, but that is not technically correct. in order to get an accurate view of the different planes of the heart, these four leads must be placed on the limbs — not on the shoulders and/or abdomen. if you’re electrodes have faded or worn to the point that you can’t see the label it’s good to know the color code by heart. why do we call it a 12-lead ecg when there are only 10 electrodes? because each of the 10 electrodes looks at a the heart from a different angle and when these electrodes work together they give us a printout of 12 unique leads or “views” of the heart.
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