This is a web-based tool for the automatic derivation of the Elevated Electrode Placement ECG (EEP-ECG) from the standard 12-lead ECG. The EEP-ECG consists of four additional leads which are unipolar ECGs recorded with the V1 and V2 electrodes placed one and two spaces higher than usual.
The EEP-ECG is useful for the diagnosis of Brugada syndrome where the changes may be seen in the elevated leads but not in the standard 12-lead ECG. Here, we derive the EEP-ECG leads from the standard 12-lead ECG using a linear regression model. The model was derived from a set of patients where 16 leads (12 standard ECG leads and the 4 EEP-ECG leads) were recorded simultaneously. The model was then validated in a separate set of patients. This work was done at the Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
To use this tool, you need a standard ECG exported in the XML format. You can upload this XML file below. The tool will then derive the EEP-ECG leads and display them in a 16-lead format and allow download of the ECG. No login is required and the tool is free to use. Uploaded ECGs are not stored on the server.