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ekg placement on large women breast

when placing electrodes on a pt. with large breast that hangs down to her waist. Normal practice is to place the electrodes under the breast. Can we place he electrodes on top of the patient breast where there is no breast muscle tissue. It looks like a tear drop where the meaty tissue is low to her waist line and only thin skins is on top at the normal male or female anatomy.
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1605619 tn?1301631851
It should be placed under the breast.
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Avatar universal
The electrode should be placed under the breast.  
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144586 tn?1284666164
An interesting question. As you may know way back when the original practice was to attach EKG leads to the wrists and ankles. Modesty was an issue.  You have two problems. Degradation of signal and artifact. With a 12 lead there will be some diminishment of signal. It is a better idea to place the electrodes under the breasts, even though that involves a bit of privacy invasion. This is ocasionally a problem with paramedics, who don't use a 12 lead. An ST depression will usually show up in either case.
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way off the beaten track!, BC
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