Using Home ECG Monitor as a Poor Man's 12-LEAD EKG Machine

During the cardiac cycle, an electric signal starts from the top left sinoatrial (SA) node, travels to the center of the heart (atrioventricular) and then to the lower chamber. The signal causes the upper heart chambers to expand and fill with blood, passes the blood to the lower chambers, which will then pump the blood out to the body. The expand and contract action of both heart chambers are controlled by the electric signal. An ECG machine captures and displays the signal. The ECG waveform can reveal a lot about the health of the heart, such as irregular rhythm and damaged heart muscle.

Since the electric signal is 4-dimensional (including time) and each pair of electrodes can only capture the signal at one particular angle. To get a complete picture, a complete ECG machine uses 10 electrodes to capture 12 leads or signals at different angles.

12-lead EKG

A home EKG machine, such as MD100A12, can only capture one signal at a time; however you can still obtain the 12-lead signals by taking measurements one at a time and positioning the electrodes accordingly.

Electrode placements for 12-LEAD signals

Limb electrodes can be placed anywhere on the limb provided they are at least 4 inches from the heart.

For MD100A12, the cable labeled LA is positive, RA is negative and LL is ground.

RA - Right arm
LA - Left arm
RL - Right leg
LL - Left leg

LEADNegativePositiveGround
IRALARL
IIRALLRL
IIILALLRL
aVRLA/LL1RARL
aVLRA/LL1LARL
aVFRA/LA1LLRL
V1RLv1LL
V2RLv2LL
V3RLv3LL
V4RLv4LL
V5RLv5LL
V6RLv6LL

1 Put an electrode at each location and connect them via another cable.

ECG electrode placements