The synthesized vectorcardiogram resembles the measured vectorcardiogram in patients with dyssynchronous heart failure.

Abstract:

BACKGROUND:The use of vectorcardiography (VCG) has regained interest, however, original Frank-VCG equipment is rare. This study compares the measured VCGs with those synthesized from the 12-lead electrocardiogram (ECG) in patients with heart failure and conduction abnormalities, who are candidate for cardiac resynchronization therapy (CRT). METHODS:In 92 CRT candidates, Frank-VCG and 12-lead ECG were recorded before CRT implantation. The ECG was converted to a VCG using the Kors method (Kors-VCG) and the two methods were compared using correlation and Bland-Altman analyses. RESULTS:Variables calculated from the Frank- and Kors-VCG showed correlation coefficients between 0.77 and 0.90. There was a significant but small underestimation by the Kors-VCG method, relative bias ranging from -1.9% ± 4.6% (QRS-T angle) to -9.4% ± 20.8% (T area). CONCLUSION:The present study shows that it is justified to use Kors-VCG calculations for VCG analysis, which enables retrospective VCG analysis of previously recorded ECGs in studies related to CRT.

journal_name

J Electrocardiol

authors

Engels EB,Alshehri S,van Deursen CJ,Wecke L,Bergfeldt L,Vernooy K,Prinzen FW

doi

10.1016/j.jelectrocard.2015.04.001

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

586-92

issue

4

eissn

0022-0736

issn

1532-8430

pii

S0022-0736(15)00108-9

journal_volume

48

pub_type

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