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A Proposal for a 9‐Lead Electrocardiogram Recorded via the Wilson's Central Terminal
Authors:John E. Madias M.D.   FA.C.C.   FAHA
Affiliation:Mount Sinai School of Medicine of the New York University, and the Division of Cardiology, Elmhurst Hospital Center, , New York, NY
Abstract:The author argues that the universally employed 12‐lead standard electrocardiogram (ECG) which consists of a conglomerate of 3 bipolar limb leads, 6 quasi‐unipolar precordial leads acquired via the Wilson's central terminal (WCT), and 3 augmented limb leads recorded via the Goldberger's changing assembly of limb connections, different for each of the augmented leads, is scientifically unsuitable and can be replaced by a 9‐lead ECG format comprising the 6 precordial V1‐V6 leads and leads VR, VL, and VF, all recorded via the WCT. The reasons and the advantages of such as switch are being discussed.
Keywords:electrocardiogram  precordial ECG leads  limb leads  Wilson's central terminal  Goldberger's central terminal  unipolar ECG leads  bipolar ECG leads  Einthoven's limb leads  augmented limb leads  multilead body surface potential maps  new ECG lead configurations  intracardiac electrograms
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