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Technical Mistakes during the Acquisition of the Electrocardiogram

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In addition to knowledge of normal and pathological patterns, the correct interpretation of electrocardiographic (ECG) recordings requires the use of acquisition procedures according to approved standards. Most manuals on standard electrocardiography devote little attention to inadequate ECG recordings. In this article, we present the most frequent ECG patterns resulting from errors in limb and precordial lead placement, artifacts in 12-lead ECG as well as inadequate filter application; we also review alternative systems to the standard ECG, which may help minimize errors.
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Keywords: artifacts; electrocardiogram; electrode misplacement; filters; leads

Document Type: Research Article

Affiliations: 1: Servicios Sanitarios del Área de Salud de El Hierro, Valle del Golfo Health Center, Islas Canarias, Spain 2: Servicio de Cardiología, Hospitales Universitarios Virgen del Rocío, Sevilla, España 3: Gem-Med S.L. Barcelona, Spain 4: Division of Cardiac and Vascular Sciences, St George's University of London, London, UK 5: Institut Catala d’Ciencies Cardiovasculars, Hospital Santa Creu i Sant Pau, Barcelona, Spain

Publication date: October 1, 2009

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