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CHAPTER 5

Introduction to 12-Lead ECGs

Objectives

At the end of this chapter, the student should be able to:

  1. Identify the various leads as they would appear on an ECG tracing. Identify the limb leads and the precordial leads on the ECG paper. (p 64)
  2. Discuss the formation of a three-dimensional view of the heart in space along the X, Y, and Z axes. (pp 6465)
  3. Analyze and calculate the orientation and amplitude of a cardiac vector in three dimensions based on examination of the hexaxial and precordial systems on a clinical ECG. (Author’s note: Yes, you will be able to do that!) (pp 6567)
  4. Describe the significance and be able to calculate the electrical axis of a 12-lead ECG to the appropriate quadrant quickly and efficiently. (pp 6770)
  5. Discuss the concept of a bundle branch block and its clinical significance. (pp 7072)
  6. Discuss, list the criteria, and identify a right bundle branch block (RBBB). (pp 7274)
  7. Discuss, list the criteria, and identify a left bundle branch block (LBBB). (pp 7476)