ECG leads for echo stress test

[hard working student]

Hi all, I will be asked to put the leads on for a stress echo on a regular basis.

I wanted to see if anyone know where to put them and the order they go in

Any help would be greatly appreciated

Thanks in advance

[brainkandy87]

Well I've never worked in the stress lab, but I'd assume it's like every other ECG or tele monitor on the planet.

So... http://faculty.plattsburgh.edu/david.curry/images/ECG_leads.jpg

[hard working student]

Thanks for the reply. It is a little different than a normal ECG because if we did the normal V1-V6 it would get in the way of scanning after the patient is done on the treadmill.

I think I was able to pick up the info.

Thanks again

[CCL RN, RN]

Just like a 12 lead and the echo tech will let you know if they need to be moved when she does her rest echo.Make sure they are taped on there-artifact is inevitable but reducing it is the most important part.

[RNgirlyAK]

Hello!

Old post, so you have probably already figured it out...but RA, V1, V2 and LA go in a line high on the chest,following under the clavicles. RL is low under the ribs on the right. V3, V4, V5, V6 and LL go in a line low under the ribs as well. Just keep in mind that the echo tech will need access around the area of the heart, so do not place tape, leads, etc... in that area. People come in all shapes and sizes so if the tech needs to move them they will. If you follow these guidelines you should be fine though!