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Critical Reviews™ in Biomedical Engineering

Publication de 6  numéros par an

ISSN Imprimer: 0278-940X

ISSN En ligne: 1943-619X

SJR: 0.262 SNIP: 0.372 CiteScore™:: 2.2 H-Index: 56

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Body Surface Laplacian Electrocardiographic Mapping−A Review

Volume 23, Numéro 5-6, 1995, pp. 475-510
DOI: 10.1615/CritRevBiomedEng.v23.i5-6.30
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RÉSUMÉ

It is of great importance and significance to be able to noninvasively map spatially distributed cardiac electrical activity from body surface electrical recordings. The standard electrocardiographic monitoring techniques provide little spatial information regarding cardiac electrical activity. Recently, a new approach−body surface Laplacian electrocardiographic mapping−has been aggressively pursued to provide high-resolution spatial mapping of cardiac electrical activity. The fundamental innovation is the measurement of the Laplacian electrocardiogram distribution over the body surface. The body surface Laplacian electrocardiographic maps have been shown to provide enhanced ability to map multiple spatially separate cardiac bioelectric sources.
This article reviews the theoretical and experimental aspects of this emerging mapping technique. First of all, the paper briefly reviews the historical development of body surface mapping and inverse solutions for mapping the distributed cardiac electrical activity. Then the paper reviews the theoretical basis of body surface Laplacian mapping and the biophysical interpretation of body surface Laplacian signals, as well as technical consideration of the Laplacian recording and instrumentation. Investigations of body surface Laplacian maps in computer models and a physical tank model, as well as physiological studies are also reviewed.

CITÉ PAR
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