Any rightward shift caused by torso leads may return it to within normal limits. Takuma4 recorded the two ECGs simultaneously to allow for differences caused by respiration, but it is unlikely that this is a major confounder. While the amplitude of the Q wave in lead III may be reduced by deep inspiration, this is not a usual consideration in routine electrocardiography.The basis for Einthoven’s (equilateral) triangle was positioning the electrodes of the three standard leads as far away from the heart as possible to ensure equidistance of the recording points, although according to the only specific reference to standard limb lead placement we could find:”the (limb) electrodes may be placed on any part of the arms or the left leg as long as they are below the shoulders in the former and below the inguinal fold anteriorly and the gluteal fold posteriorly in the latter.

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