Preparation and Lead Placement ECG – Arrhythmia
9 - 20 V Series Operating Instructions
9.5.3.9 Lead Placement: 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 3
to 5 inches away from the pacemaker generator area. For example, if the pacemaker generator is
located in the right subclavian area, relocate the Right Arm electrode closer in towards the center of
the chest.
FIGURE 9-19 3-wire Lead Placement for a
Pacemaker Patient (AHA)
FIGURE 9-20 3-wire Lead Placement for a
Pacemaker Patient (IEC)
FIGURE 9-21 5-wire Lead Placement for a
Pacemaker Patient (AHA)
FIGURE 9-22 5-wire Lead Placement for a
Pacemaker Patient (IEC)
White
Pacer
Black
Brown
V
Green Red
Pacer
White
V
Green
Red
Black
Yellow