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. 1979 Oct;42(4):416–421. doi: 10.1136/hrt.42.4.416

Projection of electrocardiographic signs in praecordial maps after exercise in patients with ischaemic heart disease.

K M Fox, A P Selwyn, J P Shillingford
PMCID: PMC482176  PMID: 508472

Abstract

Praecordial surface maps of the electrocardiogram were recorded before and after exercise using 16 electrodes covering the left hemithorax. The ST segment and R and S wave changes were measured in the praecordial maps from 20 individuals with no detectable cardiovascular disease. These showed no significant alteration in ST segments of R/S. In contrast in 40 patients with angiocardiographically proven coronary artery disease it was possible clearly to outline the distribution, severity, and time course of praecordial areas of ST segment depression (36 patients) and ST segment elevation (10 patients). In addition these praecordial areas of ST segment changes were accompanied by a regional and significant fall in the R/S. The praecordial electrocardiogram with exercise complements the anatomical information obtained from the coronary arteriogram by clearly outlining electrocardiographic projections of regional myocardial ischaemia or cell death.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BONJER F. H., LANOOY C. A hyperbolic ergometer for cycling and cranking. J Appl Physiol. 1956 Nov;9(3):499–500. doi: 10.1152/jappl.1956.9.3.499. [DOI] [PubMed] [Google Scholar]
  2. Blackburn H. The exercise electrocardiogram in diagnosis. Cardiology. 1977;62(3):190–205. doi: 10.1159/000169853. [DOI] [PubMed] [Google Scholar]
  3. Bruce R. A., McDonough J. R. Stress testing in screening for cardiovascular disease. Bull N Y Acad Med. 1969 Dec;45(12):1288–1305. [PMC free article] [PubMed] [Google Scholar]
  4. FRANK E. An accurate, clinically practical system for spatial vectorcardiography. Circulation. 1956 May;13(5):737–749. doi: 10.1161/01.cir.13.5.737. [DOI] [PubMed] [Google Scholar]
  5. Fortuin N. J., Friesinger G. C. Exercise-induced S-T segment elevation. Clinical, electrocardiographic and arteriographic studies in twelve patients. Am J Med. 1970 Oct;49(4):459–464. doi: 10.1016/s0002-9343(70)80039-0. [DOI] [PubMed] [Google Scholar]
  6. Fox K. M., Selwyn A. P., Shillingford J. P. A method for praecordial surface mapping of the exercise electrocardiogram. Br Heart J. 1978 Dec;40(12):1339–1343. doi: 10.1136/hrt.40.12.1339. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Kilpatrick D. Exercise vectorcardiography in diagnosis of ischaemic heart-disease. Lancet. 1976 Aug 14;2(7981):332–334. doi: 10.1016/s0140-6736(76)92590-3. [DOI] [PubMed] [Google Scholar]
  8. Kléber A. G., Janse M. J., van Capelle F. J., Durrer D. Mechanism and time course of S-T and T-Q segment changes during acute regional myocardial ischemia in the pig heart determined by extracellular and intracellular recordings. Circ Res. 1978 May;42(5):603–613. doi: 10.1161/01.res.42.5.603. [DOI] [PubMed] [Google Scholar]
  9. Maroko P. R., Libby P., Covell J. W., Sobel B. E., Ross J., Jr, Braunwald E. Precordial S-T segment elevation mapping: an atraumatic method for assessing alterations in the extent of myocardial ischemic injury. The effects of pharmacologic and hemodynamic interventions. Am J Cardiol. 1972 Feb;29(2):223–230. doi: 10.1016/0002-9149(72)90633-9. [DOI] [PubMed] [Google Scholar]
  10. Mason R. E., Likar I. A new system of multiple-lead exercise electrocardiography. Am Heart J. 1966 Feb;71(2):196–205. doi: 10.1016/0002-8703(66)90182-7. [DOI] [PubMed] [Google Scholar]
  11. Mason R. E., Likar I., Biern R. O., Ross R. S. Multiple-lead exercise electrocardiography. Experience in 107 normal subjects and 67 patients with angina pectoris, and comparison with coronary cinearteriography in 84 patients. Circulation. 1967 Oct;36(4):517–525. doi: 10.1161/01.cir.36.4.517. [DOI] [PubMed] [Google Scholar]
  12. Redwood D. R., Borer J. S., Epstein S. E. Whither the ST segment during exercise. Circulation. 1976 Nov;54(5):703–706. doi: 10.1161/01.cir.54.5.703. [DOI] [PubMed] [Google Scholar]
  13. Roitman D., Jones W. B., Sheffield L. T. Comparison of submaximal exercise ECG test with coronary cineangiocardiogram. Ann Intern Med. 1970 May;72(5):641–647. doi: 10.7326/0003-4819-72-5-641. [DOI] [PubMed] [Google Scholar]
  14. Selwyn A. P., Ogunro E. A., Shillingford J. P. Natural history and evaluation of ST segment changes and MB CK release in acute myocardial infarction. Br Heart J. 1977 Sep;39(9):988–994. doi: 10.1136/hrt.39.9.988. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Selwyn A. P., Ogunro E., Shillingford J. P. Loss of electrically active myocardium during anterior infarction in man. Br Heart J. 1977 Nov;39(11):1186–1191. doi: 10.1136/hrt.39.11.1186. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Selwyn A. P., Shillingford J. P. Praecordial mapping of Q waves and RS ratio changes in acute myocardial infarction. Cardiovasc Res. 1977 Mar;11(2):167–171. doi: 10.1093/cvr/11.2.167. [DOI] [PubMed] [Google Scholar]
  17. Sheffield L. T., Roitman D. I. Exercise electrocardiography. Cardiovasc Clin. 1975;6(3):93–107. [PubMed] [Google Scholar]
  18. Simoons M. L., Hugenholtz P. G. Gradual changes of ECG waveform during and after exercise in normal subjects. Circulation. 1975 Oct;52(4):570–577. doi: 10.1161/01.cir.52.4.570. [DOI] [PubMed] [Google Scholar]
  19. Simoons M. L., Van Den Brand M., Hugenholtz P. G. Quantitative analysis of exercise electrocardiograms and left ventricular angiocardiograms in patients with abnormal QRS complexes at rest. Circulation. 1977 Jan;55(1):55–60. doi: 10.1161/01.cir.55.1.55. [DOI] [PubMed] [Google Scholar]

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