42+ V4R Lead Placement Pics. Here are the diagrams you requested. Inferior wall leads ii, iii and avf anterior wall leads v3 and v4 lateral wall leads i, avl, v5 and v6 septal wall leads v1 and v2 right ventricle leads v4r, v5r.
As a nursing student and new nurse, i had trouble remembering where to place electrodes (ra, rl, la, ll, v1, v2, v3, v4, v5 & v6) on a patient for a 12 lead ekg.
No changes were observed, and no differences in ecgs were noted in patients with right and left bundle branch. The v4 lead is recommended to be placed underneath the breast tissue in women. No changes were observed, and no differences in ecgs were noted in patients with right and left bundle branch. Placed on the right arm or right below the right clavicle.