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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.
Here are the diagrams you requested. Precordial lead placement with the V4 electrode in the position of V4R: See also: Right Ventricular Infarction. See also Acute Inferior STEMI with Right Ventricular Infarction and Cardiac Arrest. From ABC of clinical electrocardiography â Acute myocardial infarction â Part 1. BMJ 2002; 324:831-834.