Doctor insights on:
Proper Placement Of Ecg Electrodes
Electrocardiogram (ecg, ekg) is a print-out of the electrical forces detected by electrodes on the chest wall, as electricity travels through the heart with each heart beat. The electrodes are placed in different positions, and each position "sees" the electrical activity of the heart from its own vantage point. Abnormalities in signal detected at chest surface ...Read more
All of them: There are no la and RA "leads" on a standard ekg, so I'm interpreting your question as "what can you find with just 4 wires? " the answer is "just about anything." with those 4 leads, i'll have 6 printouts of your heart, good enough to diagnose all types of rhythm problems. I may need the other 6 wires to better classify them, and determine where the rhythm problem is specifically though. ...Read more
Same as adults: The leads are smaller but in the same locations. ...Read more
Terrible skin reaction to event Moniter EKG electrodes. What could be in the electrode I'm allergic too?
Adhesive: It is very common that the adhesive on the electrodes cause a localized irritation/skin reaction. ...Read more
Not a problem:
The electrodes are not placed on the breast in anyone so it's not an issue. V1 goes to the right of the sternum; v2 (left 2nd ics) v4 in the mid-clavicular line 5th ics; v3 between v2 and v4. V5 in the anterior axiallary line 5th ICS and v6 in the mid-axillary line 5th ICS - none go on the breast which would act as an insulator and interfere with the tracing.
Ics=intercostal space. ...Read more
Can I be allergic to EKG electrode patches? I had an EKG yesterday, and this morning I have an itchy red rash in all the spots where the patches were. Could it be an allergic reaction? It itches a lot. Could it be serious?
Yes.: Yes. This sounds like an allergic reaction to the adhesive or latex in the ekg electrode patch. Many people are sensitive to adhesives. Be sure to tell your health care provider to add this to your list of allergies. Also, let your health care provider know about your rash/itchy reaction so he/she can recommend treatment. (usually an over the counter cream). ...Read moreSee 1 more doctor answer
Ecg: flat t wave. Echo: ef 60%. Basis on this diagnosis is ischemia. Being asked to undergo stent placement? Should go for it or not?
ECG: There are a myriad of causes of abnormal ECG tracings. Any cardiac abnormality that is signficant will usually cause some change in the ECG. Changes in blood chemistries can alter the ECG, high blood pressure, heart attack, lung diseases and a long list including things that really don't mean much but change the appearance of the ECG recording... ...Read more
Rsr', pronounced 'r s r-prime' can be a normal finding in leads v1 and v2. This pattern is often found in young healthy people.
An rsr' with widening of the qrs and characteristic findings in other leads is due to a right bundle branch block. This is when the electrical pathway to the right ventricle is slower than the pathway to the left venricle (typically several milliseconds). ...Read more
Right Bundle: It's ekg notation for the shape of the waveform, and it means there's either block or delay in one of the heart's 3 "wires" (they're not really wires) that conduct the electrical impulse to the lower chambers. It does not, generally, mean increased risk of death or problems unless other circumstances are present. ...Read more
IVR?: Do you have that right? It's usually abbreviated "AIVR" and stands for "accelerated idioventricular rhythm." The ventricles have an intrinsic rhythm of about 30-35 that is normally suppressed by supraventricular conduction. If there is AV dissociation, the ventricles can beat at their own rate or IVR. More often, the rate is about a 100 so it's called an "accelerated idioventricular rhythm." ...Read more