10 - 5
• For the 5-leadwire and 6-leadwire placement, place the precordial electrode according to the 
physician's preference.
10.4.4.5 10-leadwire Electrode Placement
12-lead ECG uses 10 electrodes, which are placed on the patient’s four limbs 
and chest. The limb electrodes should be placed on the limb extremities and 
the chest electrodes placed according to the physician’s preference. The 
picture at the right shows the conventional 10-leadwire electrode placement.
10.4.4.6 Lead Placement for Pacemaker Patients
The recommended lead placement for monitoring a pacemaker patient is as follows.
A pacemaker patient usually requires a different electrode patch placement configuration than a non-
pacemaker patient.
Do not place an ECG electrode directly over the pacemaker generator. Place the electrode patches 2 to 3 inches 
away from the pacemaker generator area. For example, if the pacemaker generator is located in the left 
subclavian area, relocate the Left Arm electrode closer in towards the center of the chest.
3-leadwire Electrode Placement 5-leadwire Electrode Placement
(1) Pacemaker