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Cardiology Teaching Package. ECG Lead Placement. The system of positioning of leads for performing a 12-lead ECG is universal. This helps to ensure that, when a person's ECGs are compared, any changes on the ECG are due to cardiac injury, not a difference in placement of leads, this is extremely important with the increasing use of foreign travel.
Overview of the separate ECG leads. The lead with ST segment elevation 'highlights' the infarct. An infarction of the inferior wall will result in ST segment elevation in leads II, III and AVF. A lateral wall infarct results in ST segment elevation in leads I and AVL. An Anterior wall infarct results in ST segment elevation in the precordial leads.