Nihon Kohden Corporation ZM-531PA Benutzerhandbuch

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Operator’s Manual  ZM-520PA/521PA/530PA/531PA
 39
Electrode Position
Follow the physician’s instructions for electrode placement when available.
For ECG monitoring, electrodes are attached only on the chest to allow patient movement 
and obtain continuous stable ECG. The following leads are examples. When also monitoring 
respiration, refer to the “Electrode Position for Respiration Monitoring” section.
NOTE
The optimum electrode positions for ECG measurement are not always optimum for 
respiration measurement. Select positions that are suitable for both ECG and respiration 
measurement or positions which give priority to either ECG or respiration measurement.
Electrode Positions for ECG Monitoring
Six Electrodes
The 6-electrode method with lead II and lead V5 is effective for monitoring myocardial ischemia.
You can improve monitoring accuracy considerably by adding lead V4 to this combination. 
Va and Vb can be at any position of the standard 12 leads V1 to V6, but V4 and V5 are most 
appropriate for myocardial ischemic monitoring.
RA/R
LA/L
RL/RF
LL/F
Va/Ca
Vb/Cb
Electrode Position
Symbol
Lead Color
AHA
IEC
AHA
IEC
Left infraclavicular fossa
LA
L
Black
Yellow
Right infraclavicular fossa
RA
R
White
Red
Below lowest rib on the left anterior axillary line
LL
F
Red
Green
Right anterior axillary line at the same level as 
LL/F
RL
RF
Green
Black
Fifth intercostal space on the left midclavicular 
line (V4 position of standard 12 leads)
Va
Ca
Brown-blue
White-brown
Left anterior axillary line at the same level as Va 
(V5 position of standard 12 leads)
Vb
Cb
Brown-orange
White-black
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