Lesson 40 / 40 · Reference · The 12 leads
Putting it together: one dipole, twelve views
All twelve leads are projections of a single cardiac dipole (the VCG) onto different axes, eight measured (I, II, V1–V6) and four derived (III, aVR, aVL, aVF). One heartbeat, twelve viewpoints. Every diagnosis from here on is a deviation from this normal projection.
Focus leads:
I
II
III
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
- Frontal plane: I, II, III, aVR, aVL, aVF (the limb leads).
- Horizontal plane: V1–V6 (the precordial leads).
- One dipole projected many ways, hold this picture as the baseline for Phase 2.
The normal 12-lead. The focus leads are highlighted; the rest are dimmed: