Electrocardiographic body surface mapping: potential tool for the detection of transient myocardial ischemia in the 21st century?
Electrocardiographic body surface mapping: potential tool for the detection of transient myocardial ischemia in the 21st century?
Coronary artery disease (CAD) is one of the leading causes of cardiovascular mortality and morbidity worldwide. CAD presents as a wide spectrum of clinical disease from stable angina to ST segment elevation myocardial infarction. The 12-lead electrocardiogram (ECG) has been the main tool for the diagnosis of these events for almost a century but is limited in its diagnostic ability. For patients with suspected angina, the exercise tolerance test is often used to provoke and detect stress-induced ischemia but does not provide a definitive answer in a substantial proportion of patients. Body surface mapping (BSM) is a technique that samples multiple points around the thorax to provide a more comprehensive electrocardiographic data set than the conventional 12-lead ECG. Moreover, recent preliminary data demonstrate that BSM can detect and display transient regional myocardial ischemia in an intuitive fashion, employing subtraction color mapping, making it potentially valuable for diagnosing CAD causing transient regional ischemia. Research is ongoing to determine the full extent of its utility.
coronary artery disease, body surface mapping, Delta map
201-210
Robinson, Monique R.
aeef6ccf-c7ca-474b-a462-913e1059f2cb
Curzen, Nicholas
70f3ea49-51b1-418f-8e56-8210aef1abf4
April 2009
Robinson, Monique R.
aeef6ccf-c7ca-474b-a462-913e1059f2cb
Curzen, Nicholas
70f3ea49-51b1-418f-8e56-8210aef1abf4
Robinson, Monique R. and Curzen, Nicholas
(2009)
Electrocardiographic body surface mapping: potential tool for the detection of transient myocardial ischemia in the 21st century?
Annals of Noninvasive Electrocardiology, 14 (2), .
(doi:10.1111/j.1542-474X.2009.00284.x).
(PMID:19419406)
Abstract
Coronary artery disease (CAD) is one of the leading causes of cardiovascular mortality and morbidity worldwide. CAD presents as a wide spectrum of clinical disease from stable angina to ST segment elevation myocardial infarction. The 12-lead electrocardiogram (ECG) has been the main tool for the diagnosis of these events for almost a century but is limited in its diagnostic ability. For patients with suspected angina, the exercise tolerance test is often used to provoke and detect stress-induced ischemia but does not provide a definitive answer in a substantial proportion of patients. Body surface mapping (BSM) is a technique that samples multiple points around the thorax to provide a more comprehensive electrocardiographic data set than the conventional 12-lead ECG. Moreover, recent preliminary data demonstrate that BSM can detect and display transient regional myocardial ischemia in an intuitive fashion, employing subtraction color mapping, making it potentially valuable for diagnosing CAD causing transient regional ischemia. Research is ongoing to determine the full extent of its utility.
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e-pub ahead of print date: 14 April 2009
Published date: April 2009
Keywords:
coronary artery disease, body surface mapping, Delta map
Organisations:
Human Development & Health
Identifiers
Local EPrints ID: 355196
URI: http://eprints.soton.ac.uk/id/eprint/355196
ISSN: 1542-474X
PURE UUID: e63b51be-32e7-459c-b5d0-4290e8e8469b
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Date deposited: 13 Aug 2013 15:14
Last modified: 15 Mar 2024 03:23
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Author:
Monique R. Robinson
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