Lesson 37 / 40 · Reference · The 12 leads

Septal precordials: V1–V2

The precordial leads view the horizontal plane. V1–V2 sit over the right ventricle and septum, so they see the main (leftward) depolarization moving away: a small r then a deep S.

Focus leads: V1 V2
  • V1–V2: an rS complex, small initial r (septal), then a deep S as LV forces move away.
  • The T wave in V1 may be flat or slightly inverted, a normal variant.
  • This is where precordial R-wave progression begins.
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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