A Clinical Appraisal of the Vectorcardiogram in Myocardial Infarction

Author:

HUGENHOLTZ PAUL G.1,WHIPPLE GERALD H.1,LEVINE HAROLD D.1

Affiliation:

1. From the Medical Clinic of the Peter Bent Brigham Hospital and the Department of Medicine, Harvard Medical School, Boston, Massachusetts.

Abstract

A total of 161 vectorcardiograms was recorded with the Grishman cube system in patients with suspected myocardial infarction. In the group of 49 cases subsequently examined post mortem and of 73 non-autopsied cases, in whom the diagnosis of infarction appeared certain, a comparison was made between the standard electrocardiogram and the vectorcardiogram taken in succession. The vectorcardiogram demonstrated more infarcts than the electrocardiogram. Of a total of 122 cases in which the vectorcardiogram showed infarction, 19 had normal and 17 equivocal electrocardiograms. A number of simple and easily applicable criteria for the vectorcardiographic diagnosis of infarction are given. It appears that even the older, uncorrected cubelead system permits a more accurate diagnosis than currently available standard electrocardiographic procedure. It is suggested that this method of exploration may be useful in cases of suspected myocardial infarction in which the routine electrocardiographic examination leaves doubt.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference33 articles.

1. Spatial Vectorcardiography

2. WOLFF L. AND WOLFF R.: Vectoreardiographic and electrocardiographic correlation in 167 autopsied cases. Proc. New England Cardiovasc. Soc. March 1960.

3. A Study of the Spatial Vectorcardiogram in Subjects with Posterior Myocardial Infarction

4. A Correlative Study of Postmortem, Electrocardiographic, and Spatial Vectorcardiographic Data in Myocardial Infarction

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