Advanced

Twelve-lead electrocardiogram: The advantages of an orderly frontal lead display including lead -aVR

Sgarbossa, EB; Barold, SS; Pinski, SL; Wagner, GS and Pahlm, Olle LU (2004) In Journal of Electrocardiology 37(3). p.141-147
Abstract
Background: It is possible that efforts in ECG review by both young experienced clinicians are currently discouraged-and risk to be completely dismissed-by the conventional (ie, disorderly) display of the frontal plane leads, with lead aVR at -150degrees. Methods: We reviewed studies on the usefulness of leads aVR and -aVR as well as on the history of the frontal leads in electrocardiography. Results: Lead aVR and particularly, lead -aVR, provide useful information when systematically analyzed. in addition, if lead -aVR is examined in its anatomically logical sequence, ie, aVL, 1, -aVR, 11, aVF, and 111, the frontal plane of the 12-lead ECG is more easily understood. This "panoramic" or "orderly" display is in common use in countries such... (More)
Background: It is possible that efforts in ECG review by both young experienced clinicians are currently discouraged-and risk to be completely dismissed-by the conventional (ie, disorderly) display of the frontal plane leads, with lead aVR at -150degrees. Methods: We reviewed studies on the usefulness of leads aVR and -aVR as well as on the history of the frontal leads in electrocardiography. Results: Lead aVR and particularly, lead -aVR, provide useful information when systematically analyzed. in addition, if lead -aVR is examined in its anatomically logical sequence, ie, aVL, 1, -aVR, 11, aVF, and 111, the frontal plane of the 12-lead ECG is more easily understood. This "panoramic" or "orderly" display is in common use in countries such as Sweden, but it is rarely seen in the United States. Conclusions: ECG interpretation would be enhanced by displaying the limb leads in an orderly arrangement that starts with lead aVL and ends with lead 111, and many ECG changes would be ideally displayed by a lead -aVR at 30degrees. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
lead minus aVR, panoramic lead display, frontal ECG leads
in
Journal of Electrocardiology
volume
37
issue
3
pages
141 - 147
publisher
Elsevier
external identifiers
  • pmid:15286926
  • wos:000223406100001
  • scopus:3543019167
ISSN
1532-8430
DOI
10.1016/j.jelectrocard.2004.04.002
language
English
LU publication?
yes
id
c960a0cf-c6d7-45be-975e-901dde4dfb5d (old id 269541)
date added to LUP
2007-10-31 14:22:01
date last changed
2017-01-15 03:29:32
@article{c960a0cf-c6d7-45be-975e-901dde4dfb5d,
  abstract     = {Background: It is possible that efforts in ECG review by both young experienced clinicians are currently discouraged-and risk to be completely dismissed-by the conventional (ie, disorderly) display of the frontal plane leads, with lead aVR at -150degrees. Methods: We reviewed studies on the usefulness of leads aVR and -aVR as well as on the history of the frontal leads in electrocardiography. Results: Lead aVR and particularly, lead -aVR, provide useful information when systematically analyzed. in addition, if lead -aVR is examined in its anatomically logical sequence, ie, aVL, 1, -aVR, 11, aVF, and 111, the frontal plane of the 12-lead ECG is more easily understood. This "panoramic" or "orderly" display is in common use in countries such as Sweden, but it is rarely seen in the United States. Conclusions: ECG interpretation would be enhanced by displaying the limb leads in an orderly arrangement that starts with lead aVL and ends with lead 111, and many ECG changes would be ideally displayed by a lead -aVR at 30degrees.},
  author       = {Sgarbossa, EB and Barold, SS and Pinski, SL and Wagner, GS and Pahlm, Olle},
  issn         = {1532-8430},
  keyword      = {lead minus aVR,panoramic lead display,frontal ECG leads},
  language     = {eng},
  number       = {3},
  pages        = {141--147},
  publisher    = {Elsevier},
  series       = {Journal of Electrocardiology},
  title        = {Twelve-lead electrocardiogram: The advantages of an orderly frontal lead display including lead -aVR},
  url          = {http://dx.doi.org/10.1016/j.jelectrocard.2004.04.002},
  volume       = {37},
  year         = {2004},
}