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J Electrocardiol. 2008 May-Jun;41(3):251-6. doi: 10.1016/j.jelectrocard.2008.02.011.

Supplemented standard 12-lead electrocardiogram for optimal diagnosis and reconstruction of significant body surface map patterns.

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1
Unit of Cardiovascular Research and Engineering, School of Medicine, Free University of Brussels (VUB), Brussels, Belgium.

Abstract

In this study, based on 120-lead body surface potential maps (BSPMs), we explored the improvement in electrocardiogram (ECG) diagnosis obtained by adding additional leads and using estimation of unmeasured leads. We found that adding a few leads observed to be optimal for diagnosis or signal capture combined with the existing 12-lead ECG improves diagnostic performance. Separately, using reconstruction (estimation) of BSPMs and using diagnostic criteria derived for maps also improve diagnostic performance over that provided by the recorded 12-lead ECG alone. Combining these 2 ideas, namely, addition of optimal leads and estimation of BSPMs improves performance even more.

[Indexed for MEDLINE]

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