Augmented Voltage Leads

These lead views are mathematically created from the limb electrodes to view the heart from three distinct positions towards the centre of the heart.

Therefore, the augmented voltage right (aVR) views the right atria and ventricle from the right shoulder (since the heart is generally situated more to the left of the mediastinum, aVR offers the most distant and least useful view of all the 12 leads). The augmented voltage left (aVL) views the left lateral aspect of the left ventricle from the left shoulder. The augmented voltage foot lead (aVF) views the inferior surface of the heart (left and right ventricle) from the feet. Together, the augmented voltage leads offer lateral and inferior views of the heart.

Of the 3 augmented voltage leads, the right lead, aVR, views the heart from the greatest distance (the heart sits more left of the sternum), and is usually ignored when reading a 12 lead ECG. The aVL lead provides another view of the left high lateral aspect of the heart. The aVF lead provides a true inferior view of the heart.

Table 6.2 Lead Views for the Augmented Voltage Leads

Table 6.2 outlines the three views of the heart that are seen using the augmented leads. These lead views are mathematically created from the limb electrodes to view the heart from three distinct positions towards the centre of the heart. Therefore, the augmented voltage right (aVR) views the right atria and ventricle from the right shoulder (since the heart is generally situated more to the left of the mediastinum, aVR offers the most distant and least useful view of all the 12 leads). The augmented voltage left (aVL) views the left lateral aspect of the left ventricle from the left shoulder. The augmented voltage foot lead (aVF) views the inferior surface of the heart (left and right ventricle) from the feet. Together, the augmented voltage leads offer lateral and inferior views of the heart.

1. Six Second ECG Guidebook (2012), T Barill, p. 140-141; Table 6.2 p. 140; Figure 6.2 p. 141

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