Lesson 35 / 40 · Reference · The 12 leads

Einthoven's triangle: I, II, III

The three standard limb leads form Einthoven's triangle in the frontal plane. They are not independent: by construction III = II − I (Einthoven's law), which is why lead III is derived, not measured.

Focus leads: I II III
  • Lead I (right → left arm): upright P/QRS/T; it measures leftward forces.
  • Leads II and III look inferiorly (toward the feet) and are normally upright.
  • Einthoven's law: III = II − I, the derived limb leads are correct by construction.
The normal 12-lead. The focus leads are highlighted; the rest are dimmed:
Vent. rate 62 bpm PR interval 200 ms QRS dur 88 ms QT/QTc 416/423 ms P-QRS-T axes 87 63 69 SYNTHETIC 12-LEAD ECG for training only — not for diagnosis I aVR V1 V4 II aVL V2 V5 III aVF V3 V6 II · rhythm strip (10 s) 25 mm/s · 10 mm/mV · 0.05–150 Hz · ~50/60 Hz · 10 s
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