It is now over 100 years since the limb leads of the electrocardiogram (ECG) were introduced (1), 75 years since the unipolar chest leads were designed (2) though only 65 years since the precordial electrode positions were standardised (3) and approximately the same time since augmented unipolar leads
were introduced (4).
Approved in 2001, the Prime ECG uses 72 unipolar leads
placed in a vest-like distribution over the front, back, and sides of the patient's torso to obtain a three-dimensional view of cardiac electrical activity.
The enhanced Ventricular AutoCapture pacing system now provides compatibility with unipolar leads
, in addition to the standard bipolar leads capability.
03) and in 12 unipolar leads
(V1-V8, V3R, VR, VL, VF) extracted from the map (0.
While the low incidence of diaphragmatic stimulation with unipolar leads
has always been desirable, now patients can receive the benefits of true bipolar lead pacing, which include low pacing thresholds and V-V timing that stimulates more natural heart rhythms.