Preparation and Lead Placement ECG – Arrhythmia
9 - 18 V Series Operating Instructions
9.5.3.7 12 Lead ECG
A 12 Lead ECG utilizes a 10-wire ECG lead set that can monitor 12 ECG vectors (I, II, III, aVR, aVL, aVF, V1, 
V2, V3, V4, V5, and V6) simultaneously. The recommended lead placement for a 12 Lead ECG is as 
follows.
FIGURE 9-15 12 Lead ECG
Lead Placement (AHA)
FIGURE 9-16 12 Lead ECG
Lead Placement (IEC)
• Place RA (white) electrode under the right 
clavicle, mid-clavicular line within the rib cage 
frame.
• Place LA (black) electrode under the left 
clavicle, mid-clavicular line within the rib cage 
frame.
• Place LL (red) electrode on the lower left 
abdomen within the rib cage frame.
• Place RL (green) electrode on lower right 
abdomen within the rib cage frame.
• Place V1 (brown) chest lead in the fourth 
intercostal space, right sternal border.
• Place V2 (brown) chest lead in the fourth 
intercostal space, left sternal border.
• Place V3 (brown) chest lead midway between 
V2 and V4 on a straight line.
• Place V4 (brown) chest lead in the fifth 
intercostal space, mid-clavicular line.
• Place V5 (brown) chest lead in the fifth 
intercostal space, anterior axillary line.
• Place V6 (brown) chest lead in the fifth 
intercostal space, mid-axillary line.
• Place R (red) electrode under the right 
clavicle, mid-clavicular line within the rib 
cage frame.
• Place L (yellow) electrode under the left 
clavicle, mid-clavicular line within the rib 
cage frame.
• Place F (green) electrode on the lower left 
abdomen within the rib cage frame.
• Place N (black) electrode on lower right 
abdomen within the rib cage frame.
• Place C1 (white) chest lead in the fourth 
intercostal space, right sternal border.
• Place C2 (white) chest lead in the fourth 
intercostal space, left sternal border.
• Place C3 (white) chest lead midway between 
C2 and C4 on a straight line.
• Place C4 (white) chest lead in the fifth 
intercostal space, mid-clavicular line.
• Place C5 (white) chest lead in the fifth 
intercostal space, anterior axillary line.
• Place C6 (white) chest lead in the fifth 
intercostal space, mid-axillary line.