User Manual Part 6

6-4 ApexPro™ 2001989-301A- draft 1
Managing patients
NOTE
The V1 lead is recommended for arrhythmia detection, and the V5 lead is
recommended for ST depression monitoring.
1
NOTE
For telemetry monitoring, any two precordial electrodes may be placed according
to the clinician or physician’s preference.
5-leadwire electrode placement
The following is a suggested configuration for a 5-leadwire electrode placement:
633B, 634B
Right arm and left arm electrodes should be placed just below the right and left
clavicle.
Right leg and left leg electrodes should be placed on a non-muscular surface on the
lower edge of the rib cage.
The precordial electrode should be placed according to the clinician or physician’s
preference.
3-leadwire electrode placement
WARNING
Do not monitor patients with a 3-leadwire set when reliable pacer
detection is required. Pacer pulse detection can be erratic when only
a single vector is monitored. Always use a 5- or 6-leadwire set when
reliable pacer detection is required.
When a 5-leadwire electrode configuration is not desirable, a 3-leadwire set can be
used. The following is a suggested configuration for a 3-leadwire electrode
placement:
1
Barbara J. Drew, RN, PhD, FAAN (2000). Value of Monitoring a Second Precordial Lead for Patients
in a Telemetry Unit, GE Medical Systems (order document number M04243ME0).
5-leadwire Electrode IEC Placement
5-leadwire Electrode AHA Placement
Draft