HOLTER TEST

RESTING TEST
STRESS TEST

LABTECH LTD.

Address Vág utca 4., Debrecen, 4031 Hungary

E-mail medical@labtech.hu

Phone +36-52-310-128

Fax +36-52-412-023

LABTECH LTD. MADE IN HUNGARY

 ELECTRODE PLACEMENT

Contents
1 HOLTER TEST ELECTRODE PLACEMENT .................................................... 3
1.1 3 lead placement (1 CH) ................................................................................. 3
1.1.1 Standard 1 .................................................................................................. 3
1.2 5 lead placement (2 CH) ................................................................................. 4
1.2.1 Standard 1 .................................................................................................. 4
1.2.2 Standard 2 .................................................................................................. 5
1.2.3 Orthogonal ................................................................................................. 6
1.3 7 lead placement (3 CH) ................................................................................. 7
1.3.1 Standard 1 .................................................................................................. 7
1.3.2 Standard 2 .................................................................................................. 8
1.3.3 Orthogonal ................................................................................................. 9
1.4 12 lead placement ......................................................................................... 10
1.4.1 Standard 1 ................................................................................................ 10
1.5 Nehb lead placement .................................................................................... 11
1.5.1 Standard 1 ................................................................................................ 11
1.5.2 Standard 2 ................................................................................................ 12
2 RESTING TEST ELECTRODE PLACEMENT ................................................. 13
2.1 12 lead placement ......................................................................................... 13
2.1.1 Standard 1 ................................................................................................ 13
2.1.2 Standard 2 ................................................................................................ 14
2.2 5 lead placement ........................................................................................... 15
2.2.1 5 electrodes .............................................................................................. 15
3 STRESS TEST ELECTRODE PLACEMENT .................................................... 16
3.1 12 lead placement ......................................................................................... 16
3.1.1 Standard 1 ................................................................................................ 16

2 2012.09.13. LABTECH LTD.

ELECTRODE PLACEMENT HOLTER TEST ELECTRODE PLACEMENT

1 Holter test electrode placement

1.1 3 lead placement (1 CH)
1.1.1 Standard 1

IEC Label Electrode Placement

CH1+ 6th intercostal space at the anterior axillary's line

CH1- Right clavicle, lateral to the mid-clavicle line

N Lowest rib on right side of chest

LABTECH LTD. 2012.09.13. 3

HOLTER TEST ELECTRODE PLACEMENT ELECTRODE PLACEMENT

1.2 5 lead placement (2 CH)

1.2.1 Standard 1

IEC Label Electrode Placement

CH1+ 6th intercostal space at the anterior axillary's line

CH1- Right clavicle, lateral to the mid-clavicle line

CH2+ Approximately 1 inch right of Xiphoid Process on the rib.

CH2- Left clavicle, lateral of sternum border

N Lowest rib on right side of chest

4 2012.09.13. LABTECH LTD.

ELECTRODE PLACEMENT HOLTER TEST ELECTRODE PLACEMENT
1.2.2 Standard 2

IEC Label Electrode Placement

CH1+ 4th intercostal space at left border of sternum

CH1- Left clavicle, lateral of sternum border

CH2+ 6th intercostal space at the anterior axillary's line

CH2- Right clavicle, lateral to the mid-clavicle line

N Lowest rib on right side of chest

LABTECH LTD. 2012.09.13. 5

HOLTER TEST ELECTRODE PLACEMENT ELECTRODE PLACEMENT
1.2.3 Orthogonal

IEC label Electrode placement

CH1+ 5th intercostal space at the mid line of left axillary

CH1- 5th intercostal space at the mid line of right axillary

CH2+ Lowest rib on left side of chest

CH2- Left clavicle, lateral of sternum border

N Lowest rib on right side of chest

6 2012.09.13. LABTECH LTD.

ELECTRODE PLACEMENT HOLTER TEST ELECTRODE PLACEMENT

1.3 7 lead placement (3 CH)

1.3.1 Standard 1

IEC Label Electrode Placement

CH1+ 6th intercostal space at the anterior axillary's line

CH1- Right clavicle, lateral to the mid-clavicle line

CH2+ Approximately 1 inch right of Xiphoid Process on the rib.

CH2- Left clavicle, lateral of sternum border

CH3+ 6th intercostal space on left midclavicular line

CH3- Manubrium sternum

N Lowest rib on right side of chest

LABTECH LTD. 2012.09.13. 7

HOLTER TEST ELECTRODE PLACEMENT ELECTRODE PLACEMENT

1.3.2 Standard 2

IEC Label Electrode Placement

CH1+ 4th intercostal space at left border of sternum

CH1- Left clavicle, lateral of sternum border

CH2+ 6th intercostal space at the anterior axillary's line

CH2- Right clavicle, lateral to the mid-clavicle line

CH3+ 6th intercostal space on left midclavicular line

CH3- Manubrium sternum

N Lowest rib on right side of chest

8 2012.09.13. LABTECH LTD.

ELECTRODE PLACEMENT HOLTER TEST ELECTRODE PLACEMENT
1.3.3 Orthogonal

IEC Label Electrode Placement

CH1+ 5th intercostal space at the mid line of left axillary

CH1- 5th intercostal space at the mid line of right axillary

CH2+ 6th intercostal space on left midclavicular line

CH2- Right clavicle, lateral to the mid-clavicle line

CH3+ Approximately 1 inch left of Xiphoid Process on the rib.

8th intercostal space at the center of the back, opposite the
CH3-
CH3+ electrode
N Lowest rib on right side of chest

LABTECH LTD. 2012.09.13. 9

HOLTER TEST ELECTRODE PLACEMENT ELECTRODE PLACEMENT

1.4 12 lead placement

1.4.1 Standard 1

IEC Label Electrode Placement

C1 Fourth intercostal space at the right sternal border.

C2 Fourth intercostal space at the left sternal border.

C3 Midway between C4 and C2.

C4 Mid-clavicular line in the fifth intercostal space.

C5 Anterior axillary line on the same horizontal level as C4.

C6 Mid-axillary line on the same horizontal level as C4 and C5.

L Slightly below left clavicle.

R Slightly below the right clavicle

F Lower edge of the rib cage, or at the level of the umbilicus at

the left and right mid-clavicular lines.
N

10 2012.09.13. LABTECH LTD.

ELECTRODE PLACEMENT HOLTER TEST ELECTRODE PLACEMENT

1.5 Nehb lead placement

1.5.1 Standard 1

IEC Label Electrode Placement

Slightly below left clavicle.

Slightly below the right clavicle

Lower edge of the rib cage, or at the level of the umbilicus at the left
and right mid-clavicular lines.

LABTECH LTD. 2012.09.13. 11

HOLTER TEST ELECTRODE PLACEMENT ELECTRODE PLACEMENT
1.5.2 Standard 2

IEC Label Electrode Placement

C1 Nst – 2nd rib at the right sternal border

Nax - 5th intercostal space on the left posterior axillary line directly
C2
opposite (on the back,) from 3 (Nap)

Nap- 5th intercostal space mid-clavicular line (cardiac apex) equates

C3
to (V4 / C4)

N On the middle line of midaxillary, on the position of ribcage

12 2012.09.13. LABTECH LTD.

ELECTRODE PLACEMENT RESTING TEST ELECTRODE PLACEMENT

2 Resting Test ELECTRODE PLACEMENT

2.1 12 lead placement
2.1.1 Standard 1

IEC Label Electrode Placement

C1 Fourth intercostal space at the right sternal border.

C2 Fourth intercostal space at the left sternal border.

C3 Midway between C4 and C2.

C4 Mid-clavicular line in the fifth intercostal space.

C5 Anterior axillary line on the same horizontal level as C4.

C6 Mid-axillary line on the same horizontal level as C4 and C5.

L Slightly below left clavicle.

R Slightly below the right clavicle

F Lower edge of the rib cage, or at the level of the umbilicus at

the left and right mid-clavicular lines.
N

LABTECH LTD. 2012.09.13. 13

RESTING TEST ELECTRODE PLACEMENT ELECTRODE PLACEMENT
2.1.2 Standard 2

IEC Label Electrode Placement

C1 Fourth intercostal space at the right sternal border.

C2 Fourth intercostal space at the left sternal border.

C3 Midway between C4 and C2.

C4 Mid-clavicular line in the fifth intercostal space.

C5 Anterior axillary line on the same horizontal level as C4.

C6 Mid-axillary line on the same horizontal level as C4 and C5.

L
Left and right arm
R
F
Left and right leg
N

14 2012.09.13. LABTECH LTD.

ELECTRODE PLACEMENT RESTING TEST ELECTRODE PLACEMENT

2.2 5 lead placement

2.2.1 5 electrodes

IEC Label Electrode Placement

C1 Fourth intercostal space at the right sternal border.

C2 Fourth intercostal space at the left sternal border.

C3 Midway between C4 and C2.

C4 Mid-clavicular line in the fifth intercostal space.

C5 Anterior axillary line on the same horizontal level as C4.

C6 Mid-axillary line on the same horizontal level as C4 and C5.

L Slightly below left clavicle.

R Slightly below the right clavicle

F Lower edge of the rib cage, or at the level of the umbilicus at

the left and right mid-clavicular lines.
N

*The only white chest electrode may be placed on any of the C1-C6 electrode places.

LABTECH LTD. 2012.09.13. 15

STRESS TEST ELECTRODE PLACEMENT ELECTRODE PLACEMENT

3 Stress Test ELECTRODE PLACEMENT

3.1 12 lead placement
3.1.1 Standard 1

IEC Label Electrode Placement

C1 Fourth intercostal space at the right sternal border.

C2 Fourth intercostal space at the left sternal border.

C3 Midway between C4 and C2.

C4 Mid-clavicular line in the fifth intercostal space.

C5 Anterior axillary line on the same horizontal level as C4.

C6 Mid-axillary line on the same horizontal level as C4 and C5.

L Slightly below left clavicle.

R Slightly below the right clavicle

F Lower edge of the rib cage, or at the level of the umbilicus at

the left and right mid-clavicular lines.
N

16 2012.09.13. LABTECH LTD.

ELECTRODE PLACEMENT STRESS TEST ELECTRODE PLACEMENT

LABTECH LTD. 2012.09.13. 17