Lead off detection is something that is present in even the most rudimentary ECG systems. A basic implementation of this is to use a simple pull up resistor to VCC and a comparator which indicates that if the lead is removed the signal that is being measured by the output is not some sort of arrhythmia, it is a lead off. The main purpose of it is to tell cardiologists and those who are monitoring patients that what is being seen is not an arrhythmia, it is actually a lead that is disconnected or eroded as a result of electrode gel drying out over time.
 
                 
                 
                 
 
 
 
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