5-Leadwire Electrode Placement - GE ApexPro Operator's Manual

Managing patients

5-leadwire electrode placement

3-leadwire electrode placement
6-4
NOTE
The V1 lead is recommended for arrhythmia detection, and the V5 lead is
recommended for ST depression monitoring.
NOTE
For telemetry monitoring, any two precordial electrodes may be placed according
to the clinician or physician's preference.
The following is a suggested configuration for a 5-leadwire electrode placement:
5-leadwire Electrode AHA Placement
Right arm and left arm electrodes should be placed just below the right and left
clavicle.
Right leg and left leg electrodes should be placed on a non-muscular surface on the
lower edge of the rib cage.
The precordial electrode should be placed according to the clinician or physician's
preference.
WARNING
Do not monitor pacemaker patients with a 3-leadwire set when
reliable pacer detection is required. Pacer pulse detection can be
erratic when only a single vector is monitored. Always use a 5- or 6-
leadwire set when reliable pacer detection is required.
1
Barbara J. Drew, RN, PhD, FAAN (2000). Value of Monitoring a Second Precordial Lead for Patients
in a Telemetry Unit, GE Medical Systems (order document number M04243ME0).
ApexPro™
1
5-leadwire Electrode IEC Placement
2001989-200E
633B, 634B