15 or 18 lead ECGs can be done with alternate precordial lead placement to assess for posterior- or right-sided disease. While the 18-lead ECG is perhaps more sensitive for early detection of ischemia or infarction, in practice, either should be used for: Ensure the ECG is …

Nov 26, 2013 · When physicians suspected a patient with emergency cardiovascular disease, a synthesized 18-lead ECG was recorded within 10 minutes of ED arrival. The primary endpoint was a diagnosis of acute ST-elevation myocardial infarction (STEMI).

We review the clinical utility of syn18-ECG in conditions including acute coronary syndromes, arrhythmias, acute pulmonary embolism, and Duchenne muscular dystrophy. The syn18-ECG waveform correlates well with the actual 18-ECG waveform, indicating that syn18-ECG is an excellent substitute for 18-ECG, excluding negative T waves.

Mar 1, 2017 · Synthesized 18-lead ECG, unlike the standard 12-lead ECG, covers the entire heart, thereby enabling estimation of the size of the myocardial ischemic area by monitoring the ST elevation profile in the ECG leads. This estimation during the hyperacute phase may lead to a decrease in STEMI mortality.

This video guides you how to set up for an 18 lead ECG. Watch our 12 lead and 15 lead ECG videos for more information on lead placement.The Video content has...

A synthesized 18-lead ECG is a specialized cardiograph that mathematically computes the virtual waveforms of the right-sided (V3R, V4R, and V5R) and posterior leads (V7, V8, and V9) based on a standard 12-lead ECG input.

In the present prospective study, we attempted to look into the prediction of RV and PW involvement using 18-lead ECG in patients with acute inferior MI using specified ECG criteria with ST elevation in right-sided chest leads and posterior leads as standard reference. Figure 1.

Learn about Synthesized ECG, a technology that expands standard 12-lead ECG to 18 leads, providing better detection of right side and posterior infarction.

The diagnosis of STEMI by synthesized 18-lead ECG is useful to identify the site of infarction in patients with infarction of the right ventricular wall (supplied by the RCA) or posterior wall of the left ventricle (supplied by the LCX), which often fail to be diagnosed by the standard 12-lead ECG.

The addition of three posterior leads completes an 18 lead ECG. Note that most 12 lead ECG units do not provide the sixteen electrodes necessary for an 18 lead ECG, or the thirteen electrodes required for a 15 lead ECG.