Lesson 39 / 40 · Reference · The 12 leads

Lateral precordials: V5–V6

V5–V6 sit over the lateral left ventricle, facing the main depolarization, so they show a tall R with a small preceding septal q (a qR complex).

Focus leads: V5 V6
  • V5–V6: a qR complex, a small septal q, then a dominant R; the S wave is nearly gone by V6.
  • The septal q is normal when it is narrow (< 40 ms) and shallow (< 25% of the R).
  • The T wave is upright.
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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