3D ECG Leads vs EchoGuide by ASE

Why 3D ECG Leads ? AN ECG LEAD PLACEMENT GUIDE Misplacement of the ECG Leads may lead to wrong diagnoses and further unnecessary investigations or treatments (Jowett et al., 2005; Toosi and Sochanski, 2008; Harrigan, Chan and Brady, 2012; Ilg and Lehmann, 2012; Lynch, 2014). In their study (Medani et al., 2018) showed that in only 34% of cases, the ECG Chest Leads were placed correctly. All medical personnel who are operating a 12 Lead ECG machine should have the appropriate training for ECG lead placement (Kligfield et al., 2007; Crawford and Doherty, 2010). The purpose of 3D ECG Leads is not aimed at replacing high-quality training but instead, to act as an aid and to show you in a simple 3D interactive way the Standard Lead Placement Technique. AN ECG LEADS VISUALISATION TOOL In a standard 12 Lead ECG Tracing, not all of the ECG Leads are organized in anatomical order. One recent study (Lindow et al., 2019) highlights the fact that displaying all the 12 ECG Leads in an anatomical sequence has a positive impact in diagnosing Acute Myocardial Infarction. 3D ECG Leads serves as a 3D interactive tool for the anatomical visualization of the ECG Leads. WHY ONLY 10 LEADS. HOW AN ECG LEAD IS GENERATED. With 3D ECG Leads you can visualize how the ECG Machine reads the heart's electrical activity, and how 3 Electrodes are generating 6 Leads. References Crawford, J. and Doherty, L. (2010) “Ten steps to recording a standard 12-lead ECG,” Practice Nursing, 21(12). doi: 10.12968/pnur.2010.21.12.622. Harrigan, R. A., Chan, T. C. and Brady, W. J. (2012) “Electrocardiographic electrode misplacement, misconnection, and artifact,” Journal of Emergency Medicine. Elsevier Ltd, 43(6). doi: 10.1016/j.jemermed.2012.02.024. Ilg, K. J. and Lehmann, M. H. (2012) “Importance of recognizing pseudo-septal infarction due to electrocardiographic lead misplacement,” American Journal of Medicine. Elsevier Inc., 125(1). doi: 10.1016/j.amjmed.2011.04.023. Jowett, N. I. et al. (2005) “Modified electrode placement must be recorded when performing 12-lead electrocardiograms,” Postgraduate Medical Journal, 81(952). doi: 10.1136/pgmj.2004.021204. Kligfield, P. et al. (2007) “Recommendations for the Standardization and Interpretation of the Electrocardiogram: Part I: The Electrocardiogram and Its Technology A Scientific Statement From the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clin,” Journal of the American College of Cardiology. Elsevier, 49(10). doi: 10.1016/J.JACC.2007.01.024. Lindow, T. et al. (2019) “Why complicate an important task? An orderly display of the limb leads in the 12-lead electrocardiogram and its implications for recognition of acute coronary syndrome,” BMC Cardiovascular Disorders. BMC Cardiovascular Disorders, 19(1). doi: 10.1186/s12872-018-0979-x. Lynch, R. (2014) “ECG lead misplacement: A brief review of limb lead misplacement,” African Journal of Emergency Medicine. African Federation for Emergency Medicine, 4(3). doi: 10.1016/j.afjem.2014.05.006. Medani, S. A. et al. (2018) “Accuracy in precordial ECG lead placement: Improving performance through a peer-led educational intervention,” Journal of Electrocardiology. Elsevier Inc., 51(1). doi: 10.1016/j.jelectrocard.2017.04.018. Toosi, M. S. and Sochanski, M. T. (2008) “False ST elevation in a modified 12-lead surface electrocardiogram,” Journal of Electrocardiology, 41(3). doi: 10.1016/j.jelectrocard.2007.11.004.

ASE’s EchoGuide provides access to over 50 calculators, algorithms, and charts. EchoGuide was developed based on key ASE guidelines for use by healthcare professionals providing cardiac care. One special feature in the app is that users have the ability to select their favorite interactive tools for easy access. Topics include: • Left Ventricle • Left Ventricle Mass • Left Ventricular Diastolic Function • Right Ventricle • Left Atrium • Right Atrium Dimensions & Volumes • Aorta • Aortic Regurgitation • Aortic Stenosis • Mitral Regurgitation • Mitral Stenosis • Tricuspid Regurgitation • Tricuspid Stenosis • Pulmonic Regurgitation • Pulmonic Stenosis • Prosthetic Aortic Valve Function • Prosthetic Mitral Valve Function • Prosthetic Tricuspid Valve Function • Prosthetic Pulmonic Valve Function • Prosthetic Valve Regurgitation EchoGuide is intended for educational/informational use only. EchoGuide is not intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease by aiding clinical decision-making. Please send feedback through the App information page and feel free to leave a review and rating in the App Store.