Vectorcardiography

Article summary

Vectorcardiography (VCG) is a method of recording the magnitude and direction of the electrical forces that are generated by the heart by means of a continuous series of vectors that form curving lines around a central point. Vectorcardiography was developed by Ernest Frank in the mid 1950s. Since the human body is a three-dimensional structure, the basic idea is to construct three orthogonal leads containing all the electric information. The three leads are represented by right-left axis (X), head-to-feet axis (Y) and front-back (anteroposterior) axis (Z). To calculate Frank's leads X, Y and Z using the standard leads system, the following expressions are used: \begin{align} X &= -(-0.172 V1 - 0.074 V2 + 0.122 V3 + 0.231 V4 + 0.239 V5 + 0.194 V6 + 0.156 DI - 0.010 DII), &(1)\\ Y &= (0.057 V1 - 0.019 V2 - 0.106 V3 - 0.022 V4 + 0.041 V5 + 0.048 V6 - 0.227 DI + 0.887 DII), &(2)\\ Z &= -(-0.229 V1 - 0.310 V2 - 0.246 V3 - 0.063 V4 + 0.055 V5 + 0.108 V6 + 0.022 DI + 0.102 DII). &(3)\\ \end{align} Researchers have developed various methods of evaluating vectorcardiograms. Grygoriy Risman presents these different methods, which were developed over half a century and which offer an advanced approach called spatial vectorcardiometry (SVCM). The original Russian thesis is filed in the Odesa National Medical University.…

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