2
Most read
4
Most read
9
Most read
TRIAXIAL AND
HEXAXIAL SYSTEM
TRIAXIAL REFERENCE SYSTEM
Standard lead
• The lead axes of the three standard leads form an equilateral triangle.
• This constitutes Einthoven's equilateral triangle, each angle of the triangle
being 60°
Hexaxial reference system
TRIAXIAL REFERENCE SYSTEM
• The lead axes of Einthoven's triangle may be transposed so
that they bisect each other while maintaining their orientation.
• These three lead axes thus form a triaxial reference system
with each lead axis being theoretically separated from the
other by 60°
Hexaxial reference system
Hexaxial reference system
TRIAXIAL AND HEXAXIAL SYSTEM
Unipolar lead
The unipolar extremity leads are so constructed that their lead axes
geometrically bisect the angles of the equilateral triangle formed by the
standard leads
• Each electrode of these unipolar leads is a positive electrode.
• These leads, too, may be transposed so that they bisect each other while
maintaining their orientation
TRIAXIAL AND HEXAXIAL SYSTEM
• They also form a triaxial reference system with each lead axis separated
from the other by 60°
• When these two triaxial reference systems are combined and
superimposed upon each other, they form a hex-axial reference system
• Each lead axis is then separated from its two neighbouring axes by 30°
• This hexaxial reference system is used for graphing the mean manifest
frontal plane electrical axes.
Hexaxial reference system
HEXAXIAL SYSTEM
• Naming the degrees
• By an irrational and confusing convention, the degrees in the
upper hemisphere of the hexaxial reference system are
labelled negative degrees, whereas those in the lower half are
labelled positive degrees.
HEXAXIAL SYSTEM
• Thus, beginning with the positive pole of standard lead I,
which is labelled 0°, and progressing clockwise, the leads are
labelled sequentially +30°, +60°, +90°, +120°, +150° and
+180°.
• Beginning at 0° and progressing counterclockwise, the leads
are labelled sequentially -30°, 60°, 90°, -120°, -150° and -
180°. The 180° position may be termed + or - 180°.
Hexaxial reference system
Hexaxial reference system
Hexaxial reference system
Hexaxial reference system
THANK YOU

More Related Content

PPTX
Lv systolic function
PPTX
Coronary artery anatomy
PPTX
Echo views
PPTX
TRANSESOPHAGEAL ECHOCARDIOGRAPHY.pptx
PPTX
Cardiac axis
PPTX
M mode echo
PPTX
Basic EP Study
Lv systolic function
Coronary artery anatomy
Echo views
TRANSESOPHAGEAL ECHOCARDIOGRAPHY.pptx
Cardiac axis
M mode echo
Basic EP Study

What's hot (20)

PPTX
segment approach to congenital heart diseases
PPT
Introduction to echocardiography
PPTX
PPTX
ECHO WINDOWS AND VIEWS.pptx
PPTX
Temporary cardiac pacing
PPTX
Junctional arrhythmias
PPTX
PPTX
Echo Mitral Stenosis
PPTX
PRESSURE MEASUREMENT by Cardiac catheterisation_Dr Amol Patil.pptx
PPTX
Echo assessment of lv systolic function and swma
PPT
Electrophysiology basics,part1(lecture)
PPTX
Cardiac catheters
PPTX
Coronary Arteries
PPTX
MEASUREMENT OF CARDIAC OUTPUT
PPTX
Diagnostic catheters for coronary angiography
PPTX
Diastolic Dysfunction 2016
PPTX
Placement of ecg leads during exercise (cardio ppt)
PPTX
PPTX
Electrophysiology study protocol
segment approach to congenital heart diseases
Introduction to echocardiography
ECHO WINDOWS AND VIEWS.pptx
Temporary cardiac pacing
Junctional arrhythmias
Echo Mitral Stenosis
PRESSURE MEASUREMENT by Cardiac catheterisation_Dr Amol Patil.pptx
Echo assessment of lv systolic function and swma
Electrophysiology basics,part1(lecture)
Cardiac catheters
Coronary Arteries
MEASUREMENT OF CARDIAC OUTPUT
Diagnostic catheters for coronary angiography
Diastolic Dysfunction 2016
Placement of ecg leads during exercise (cardio ppt)
Electrophysiology study protocol
Ad

Similar to Hexaxial reference system (11)

PDF
Compass surveying_Surveying, Civil Engineering
PPTX
Compass surveying
PDF
no. 6 class note surveying measurements lecture note
PDF
Compass surveying
PPT
Conformational Analysis, newman projections 1.ppt
PPTX
Module 1 mechanisms
PPTX
PDF
Lines and angles Class 9 _CBSE
PPTX
Untitled Presentation (2).pptx
PPT
Compass Surveying.ppt
PPTX
Helmholtz galvanometer
Compass surveying_Surveying, Civil Engineering
Compass surveying
no. 6 class note surveying measurements lecture note
Compass surveying
Conformational Analysis, newman projections 1.ppt
Module 1 mechanisms
Lines and angles Class 9 _CBSE
Untitled Presentation (2).pptx
Compass Surveying.ppt
Helmholtz galvanometer
Ad

Recently uploaded (20)

PDF
MBA _Common_ 2nd year Syllabus _2021-22_.pdf
PDF
My India Quiz Book_20210205121199924.pdf
PDF
Literature_Review_methods_ BRACU_MKT426 course material
PPTX
Education and Perspectives of Education.pptx
PDF
Τίμαιος είναι φιλοσοφικός διάλογος του Πλάτωνα
PPTX
A powerpoint presentation on the Revised K-10 Science Shaping Paper
PDF
BP 704 T. NOVEL DRUG DELIVERY SYSTEMS (UNIT 1)
PPTX
Climate Change and Its Global Impact.pptx
PPTX
ELIAS-SEZIURE AND EPilepsy semmioan session.pptx
PDF
Journal of Dental Science - UDMY (2022).pdf
DOCX
Cambridge-Practice-Tests-for-IELTS-12.docx
PDF
Complications of Minimal Access-Surgery.pdf
PDF
BP 505 T. PHARMACEUTICAL JURISPRUDENCE (UNIT 2).pdf
PPTX
Module on health assessment of CHN. pptx
PDF
Journal of Dental Science - UDMY (2020).pdf
PPTX
Introduction to pro and eukaryotes and differences.pptx
PPTX
Core Concepts of Personalized Learning and Virtual Learning Environments
PDF
Environmental Education MCQ BD2EE - Share Source.pdf
PDF
LEARNERS WITH ADDITIONAL NEEDS ProfEd Topic
PDF
English Textual Question & Ans (12th Class).pdf
MBA _Common_ 2nd year Syllabus _2021-22_.pdf
My India Quiz Book_20210205121199924.pdf
Literature_Review_methods_ BRACU_MKT426 course material
Education and Perspectives of Education.pptx
Τίμαιος είναι φιλοσοφικός διάλογος του Πλάτωνα
A powerpoint presentation on the Revised K-10 Science Shaping Paper
BP 704 T. NOVEL DRUG DELIVERY SYSTEMS (UNIT 1)
Climate Change and Its Global Impact.pptx
ELIAS-SEZIURE AND EPilepsy semmioan session.pptx
Journal of Dental Science - UDMY (2022).pdf
Cambridge-Practice-Tests-for-IELTS-12.docx
Complications of Minimal Access-Surgery.pdf
BP 505 T. PHARMACEUTICAL JURISPRUDENCE (UNIT 2).pdf
Module on health assessment of CHN. pptx
Journal of Dental Science - UDMY (2020).pdf
Introduction to pro and eukaryotes and differences.pptx
Core Concepts of Personalized Learning and Virtual Learning Environments
Environmental Education MCQ BD2EE - Share Source.pdf
LEARNERS WITH ADDITIONAL NEEDS ProfEd Topic
English Textual Question & Ans (12th Class).pdf

Hexaxial reference system

  • 2. TRIAXIAL REFERENCE SYSTEM Standard lead • The lead axes of the three standard leads form an equilateral triangle. • This constitutes Einthoven's equilateral triangle, each angle of the triangle being 60°
  • 4. TRIAXIAL REFERENCE SYSTEM • The lead axes of Einthoven's triangle may be transposed so that they bisect each other while maintaining their orientation. • These three lead axes thus form a triaxial reference system with each lead axis being theoretically separated from the other by 60°
  • 7. TRIAXIAL AND HEXAXIAL SYSTEM Unipolar lead The unipolar extremity leads are so constructed that their lead axes geometrically bisect the angles of the equilateral triangle formed by the standard leads • Each electrode of these unipolar leads is a positive electrode. • These leads, too, may be transposed so that they bisect each other while maintaining their orientation
  • 8. TRIAXIAL AND HEXAXIAL SYSTEM • They also form a triaxial reference system with each lead axis separated from the other by 60° • When these two triaxial reference systems are combined and superimposed upon each other, they form a hex-axial reference system • Each lead axis is then separated from its two neighbouring axes by 30° • This hexaxial reference system is used for graphing the mean manifest frontal plane electrical axes.
  • 10. HEXAXIAL SYSTEM • Naming the degrees • By an irrational and confusing convention, the degrees in the upper hemisphere of the hexaxial reference system are labelled negative degrees, whereas those in the lower half are labelled positive degrees.
  • 11. HEXAXIAL SYSTEM • Thus, beginning with the positive pole of standard lead I, which is labelled 0°, and progressing clockwise, the leads are labelled sequentially +30°, +60°, +90°, +120°, +150° and +180°. • Beginning at 0° and progressing counterclockwise, the leads are labelled sequentially -30°, 60°, 90°, -120°, -150° and - 180°. The 180° position may be termed + or - 180°.