Skip to main content

Isopotential Mapping in Acute Myocardial Infarction

  • Chapter

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 60))

Abstract

Electrocardiographic patterns are standard markers of acute myocardial infarction. In this review, we shall 1] explore the potential values of the electrocardiogram in evaluation of patients with acute myocardial infarction, 2] identify reasons why body surface isopotential mapping may be of added value, 3] summarize our applications of these mapping methods, and 4] comment upon the limitations of isopotential mapping efforts undertaken to this date. By doing so, we shall attempt to delineate the appropriate position of body surface mapping methods in the study of acute myocardial infarction.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Raunio H, Rissanen V, Romppanen T, et al: Changes in the QRS complex and ST segment in transmural and subendocardial infarction. Am Heart J 98: 170, 1971.

    Google Scholar 

  2. Arkin BM, Hueter DC, Ryan TJ: Predictive value of electrocardiographic patterns in localizing left ventricular asynergy in coronary artery disease. Am Heart J 97: 453, 1979.

    Article  PubMed  CAS  Google Scholar 

  3. Sullivan W, Vlodaver Z, Tuna N, et al: Correlation of electrocardiographic and pathologic findings in healed myocardial infarction. Am J Cardiol 42: 724, 1978.

    Article  PubMed  CAS  Google Scholar 

  4. Roberts WC, Gardin JM: Location of myocardial infarcts: A confusion of terms and definitions. Am J Cardiol 42: 868, 1978.

    Article  PubMed  CAS  Google Scholar 

  5. Palmeri ST, Harrison DG, Cobb FR, et al: A QRS scaring system for assessing left ventricular function after myocardial infarction. New Eng J Med 306: 4, 1982.

    Article  PubMed  CAS  Google Scholar 

  6. Spach MS, Barr RC, Blumenschein SD, Boineau JP: Clinical implications of isopotential surface maps. Ann Intern Med 69: 919, 1968.

    PubMed  CAS  Google Scholar 

  7. Wilson FN, Johnston FD, Rosenbaum FF, et al: The precordial electrocardiogram. Am Heart J 27: 19, 1944.

    Article  Google Scholar 

  8. Mirvis DM, Keller FW, Ideker RE, et al: Detection and localization of multiple epicardial electrical generators by a two-dipole ranging technique. Circ Res 41: 351, 1977.

    Google Scholar 

  9. McLaughlin VW, Flowers NC, Horan LG, Killam HAW: Surface potential contributions from discrete elements of ventricular wall. Am J Cardiol 34: 302, 1974.

    Article  PubMed  CAS  Google Scholar 

  10. Abildskov JA, Burgess MJ, Lux RL, Wyatt RF: Experimental evidence for regional cardiac influence in body surface isopotential maps of dogs. Circ Res 38: 386, 1976.

    PubMed  CAS  Google Scholar 

  11. Blumenschein SD, Spach MS, Boineau JP, et al: Genesis of body surface potentials in varying types of right ventricular hypertrophy. Circulation 38: 917, 1968.

    PubMed  CAS  Google Scholar 

  12. DeAmbroggi L, Tacardi B, Macchi E: Body surface maps of heat potentials: Tentative localization of pre-excitation areas in forty-two Wolff-Parkinson-White patients. Circulation 54: 251, 1976.

    CAS  Google Scholar 

  13. Geselowitz D: The concept of an equivalent cardiac generator. Biomed Sci Instrumentation 1: 325, 1963.

    CAS  Google Scholar 

  14. Ideker RE, Bandura JP, Cox JW, Jr., et al: Path and significance of heart vector migration during QRS and ST-T complexes of ectopic beats in isolated perfused rabbit hearts. Circ Res 41: 558, 1977.

    PubMed  CAS  Google Scholar 

  15. Han J, Moe GK: Nonuniform recovery of excitability in ventricular muscle. Circ Res 14: 44, 1964.

    PubMed  CAS  Google Scholar 

  16. Burgess MJ, Harumi K, Abildskov JA: Application of a thearetic T wave model to experimentally induced T wave abnormalities. Circulation 34: 669, 1966.

    PubMed  CAS  Google Scholar 

  17. Mirvis DM: Body surface distributions of repolarization forces during acute myocardial infarction. I. Isopotential and isoarea mapping. Circulation 62: 878, 1980.

    PubMed  CAS  Google Scholar 

  18. Mirvis DM, Holbrook MA: Body surface distributions of repolarization potentials after acute myocardial infarction. III. Dipole ranging in subjects and in patients with acute myocardial infarction. J Electrocardiol 14: 387, 1981.

    Article  PubMed  CAS  Google Scholar 

  19. Mirvis DM, Keller FW, Ideker RE, et al: Equivalent generator properties of acute ischemic lesions in the isolated rabbit heart. Circ Res 42: 767, 1978.

    Google Scholar 

  20. Nichols, TL, Mirvis DM: Frequency content of the electrocardiogram. Spatial features and effects of myocardial infarction. J Electrocardiol 18: 185, 1985.

    Article  PubMed  CAS  Google Scholar 

  21. Mirvis DM and Larsen RA: Experimental evaluation of a moving dipole-octapole pair equivalent cardiac generator. J Electrocardiol 12: 169, 1979.

    Article  PubMed  CAS  Google Scholar 

  22. Mirvis DM: Spatial variation of Q-T intervals in normal persons and in patients with acute myocardial infarction. J Am Coll Cardiol 5: 625, 1985.

    Article  PubMed  CAS  Google Scholar 

  23. Kaplinsky E, Ogawa S, Balke CW, Dreifus LS: Two periods of early ventricular arrhythmias in the canine myocardial infarction model. Circulation 60: 397, 1979.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Martinus Nijhoff Publishers, Dordrecht

About this chapter

Cite this chapter

Mirvis, D.M. (1986). Isopotential Mapping in Acute Myocardial Infarction. In: van Dam, R.T., van Oosterom, A. (eds) Electrocardiographic Body Surface Mapping. Developments in Cardiovascular Medicine, vol 60. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4303-2_5

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-4303-2_5

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8412-3

  • Online ISBN: 978-94-009-4303-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics