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:
X = − ( − 0.172 V 1 − 0.074 V 2 + 0.122 V 3 + 0.231 V 4 + 0.239 V 5 + 0.194 V 6 + 0.156 D I − 0.010 D I I ) , ( 1 ) Y = ( 0.057 V 1 − 0.019 V 2 − 0.106 V 3 − 0.022 V 4 + 0.041 V 5 + 0.048 V 6 − 0.227 D I + 0.887 D I I ) , ( 2 ) Z = − ( − 0.229 V 1 − 0.310 V 2 − 0.246 V 3 − 0.063 V 4 + 0.055 V 5 + 0.108 V 6 + 0.022 D I + 0.102 D I I ) . ( 3 ) {\displaystyle {\begin{aligned}X&=-(-0.172V1-0.074V2+0.122V3+0.231V4+0.239V5+0.194V6+0.156DI-0.010DII),&(1)\\Y&=(0.057V1-0.019V2-0.106V3-0.022V4+0.041V5+0.048V6-0.227DI+0.887DII),&(2)\\Z&=-(-0.229V1-0.310V2-0.246V3-0.063V4+0.055V5+0.108V6+0.022DI+0.102DII).&(3)\\\end{aligned}}} 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. Recently, Bipolar Precordial Leads exploring the right to left axis combined with averaged unipolar precordial leads allowed to produce sectorial VCG loops in the horizontal plane.
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