Alternative Lead <scp>ECG</scp> Placements

Electrocardiography (ECG) is a critical diagnostic tool for identifying cardiac conditions. While standard lead positions are widely used to ensure diagnostic accuracy, alternative lead placements have been developed to address specific clinical scenarios. These alternative configurations can overcome physical or technical challenges, enhance rhythm assessment, improve signal quality, and provide greater specificity for certain conditions, ultimately enabling more personalized diagnostic strategies. This paper examines the clinical significance of alternative ECG lead positions, highlighting their advantages, limitations, and potential applications in various clinical settings.

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Publication Details

Journal
Annals of Noninvasive Electrocardiology
Published
2026-03-28
DOI
https://doi.org/10.1111/anec.70176
Primary Topic
ECG Monitoring and Analysis
Type
article
Field-Weighted Citation Impact
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article

Alternative Lead ECG Placements

Evan Wilson, Juan Farina, David Aristizábal, Nicole Langleben et al.
Annals of Noninvasive Electrocardiology
ECG Monitoring and Analysis
article

Alternative Lead ECG Placements

Evan Wilson, Juan Farina, David Aristizábal, Nicole Langleben, Abdullah Bhuiyan, José Luis Morales‐Arteaga, Keanu Razzaghi, Adrian Baranchuk, Ashley Pellerito, Cengiz Burak, Derek Wu, Amin Meghdadi, Shyla Gupta
article en

Abstract

Electrocardiography (ECG) is a critical diagnostic tool for identifying cardiac conditions. While standard lead positions are widely used to ensure diagnostic accuracy, alternative lead placements have been developed to address specific clinical scenarios. These alternative configurations can overcome physical or technical challenges, enhance rhythm assessment, improve signal quality, and provide greater specificity for certain conditions, ultimately enabling more personalized diagnostic strategies. This paper examines the clinical significance of alternative ECG lead positions, highlighting their advantages, limitations, and potential applications in various clinical settings.

Annals of Noninvasive ElectrocardiologyVol. 31(3)
University of Ottawa (CA), Queen's University (CA), Universidad de Antioquia (CO), Mayo Clinic in Arizona (US), Mayo Clinic Hospital (US), Kingston Health Sciences Centre (CA), Hamilton Health Sciences (CA), Universidad Panamericana (MX), McMaster University (CA)
Openalex Percentile: Top 4%
ECG Monitoring and Analysis
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