Episode 1 of Season 2 of the ECG Summit presents an engaging session on “ECG Lead Placements: When are the Alternate Leads Helpful?”, featuring renowned electrophysiologist Dr. Deepak Padmanabhan, with moderation by Dr. S B Gupta. This session explores the practical importance of alternate ECG lead placements in enhancing diagnostic accuracy across a range of complex clinical scenarios. The discussion will focus on when and why alternate lead positioning can provide critical incremental information beyond the standard 12-lead ECG. Through case-based discussions and expert insights, this module aims to strengthen ECG interpretation skills and improve clinical decision-making in day-to-day practice.