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Cardiology: ECG Leads
Electrocardiographic Leads and Their Axes
15
Medical
Graduate
09/27/2010

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Cards

Term
Limb Leads
Definition
Lead I, Lead II, Lead III
Term
Lead I
Definition
Negative on right arm and positive on left arm
Term
Lead II
Definition
Negative on right arm and positive on left leg
Term
Lead III
Definition
Negative on left arm and positive on left leg
Term
Augmented Limb Leads
Definition
Lead aVR, lead aVL, lead aVF
Term
Lead aVR
Definition
Negative on left arm and left leg and positive on right arm
Term
Lead aVL
Definition
Negative on right arm and left left and positive on left arm
Term
Lead aVF
Definition
Negative on both arms and positive on left leg
Term
Precordial Leads
Definition
All the limb leads are considered "negative" so these are considered "positive"
Term
Lead I
Definition
Current flows across the heart; positive deflection because it is going from right to left
Term
Lead II
Definition
The current flow most closely simulates the electrical activity of the heart; current flows down and to the left; large positive deflection because it closely matches natural flow
Term
Lead III
Definition
Positive deflection because the current is flowing down (which the heart naturally does) but not as large because it isn't flowing from right to left, its just flowing down
Term
Lead aVR
Definition
Opposite of the heart therefore negative deflection; current flows up and to the right instead of down and to the left
Term
Lead aVL
Definition
Current flows up and to the left when the heart flows down and to the left; this is exactly perpendicular to the heart's natural flow so it is isoelectric and there isn't really any net deflection
Term
Lead aVF
Definition
Combination of Lead II and III; should be in between the height of those two leads; Current flows down and slightly to the left
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