29+ 12 Lead V4R Images. An alternative approach is to. V4 can be found one intercostal space lower than v2, in line.
Besides the standard 12 lead ecg a couple of variants are in use:
A simple guide + video showing how to correctly place surface electrodes when performing a 12 lead ecg / ekg electrocardiogram for cardiovascular and you can do this by identifying v4 and v6, then filling in v3 and v5 as outlined below. This video is available for instant download licensing here. These leads are v3r, v4r, v5r and v6r. The r wave morphology itself is not of great clinical importance but can vary at times.
