Posterior Leads

Posterior views of the heart can be best seen via posterior leads placed below the scapula to the left of the spine.

The inferior leads show the inferior aspects of the heart – the inferior aspects of the right ventricle and the left ventricle. Much of the inferior view of the heart is of the right ventricle. Precordial leads placed along the right side of the chest help complete the picture of the right ventricle. Posterior views of the heart can be best seen via posterior leads placed below the scapula to the left of the spine.

The addition of three right-sided precordial leads provides a complete view of the right ventricle. The addition of three posterior leads completes an 18 lead ECG. Note that most 12 lead ECG units do not provide the sixteen electrodes necessary for an 18 lead ECG, or the thirteen electrodes required for a 15 lead ECG. Instead, two separate 12 lead ECGs are taken – the first with standard lead placement and the second with the precordial electrodes repositioned to address the right and posterior aspects of the heart. The extra lead views of a 15 or 18 lead ECG are then labelled accordingly.

1. Six Second ECG Guidebook (2012), T Barill, p. 142-143

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  Six Second ECG Intensive Six Second ECG Mastery 12 Lead ECG & ACS 12 Lead Advanced
Prerequisite

None

None

Any Six Second ECG Course

12 Lead ECG & ACS

Time Frame

8 hours (1-day Course or 2 evenings)

20 hours 3-day Course

8 hours 1-day Course

8 hours 1-day Course

Tuition

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Completion Card
Exam and Certification
SkillStat 2U-able
Reference materials included
Dynamic ECG rhythm interpretation
Static ECG rhythm interpretation
Clinical Impact Mapping
Acute Coronary Syndromes Overview
Acute Coronary Syndromes In-Depth
ST Segment & T Wave Differential
Identify Bundle Branch Blocks
15 | 18 Lead View Mapping
Electrical Axis
R Wave Progression
Left Bundle Branch Blocks with ACS
Atypical Findings
Acute Non-Ischemic Disease Conditions
Special Cases

•-included;     ○-reviewed
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