Benchimol A, Desser K B
Am J Cardiol. 1975 Jul;36(1):76-86. doi: 10.1016/0002-9149(75)90871-1.
With use of the Frank lead system, still loop and timed vectorcardiograms were recorded in more than 5,000 patients sujected to complete right and left hear catheterization and selective coronary cine angiography. Data so obtianed demonstrated clincila superiority of the vectorcardiogram over the standard 12 lead scalar electrocardiogram. Specific advantages of the vectorcardiogram include (1) recognititin of undetected atrial and ventrcular hypertropy, (2) greater sensitivity in identification of myocardial infaraction, and (3) superior capability for diagnosis of multiple infaractions in the presnece of fascicular and burnany number of simultaneously recoreded electrocardiographic leadsfor the analysis of complex arrhythmias and beat to beat changes in intraventricula conduction. SINCE THE VALIDITY AND USEFULNESS OF THIS TECHNIQUE HAVE BEEN ESTABLISHED, IT SHOULD BECOME PART OF THE ROUTINE NONINVASIVE EVALUATION OF PATIENTS WITH CARDIOVASCULAR DISORDERS.
使用弗兰克导联系统，对5000多名接受了完整的右心和左心导管检查以及选择性冠状动脉造影的患者记录了静态环路和定时向量心电图。如此获得的数据表明，向量心电图在临床上优于标准的12导联标量心电图。向量心电图的具体优势包括：（1）识别未被检测到的心房和心室肥厚；（2）在识别心肌梗死方面具有更高的敏感性；（3）在存在束支和分支阻滞时，对于诊断多处梗死具有更强的能力，并且能够利用同时记录的任意数量的心电图导联来分析复杂心律失常和心室传导的逐搏变化。由于该技术的有效性和实用性已经得到证实，它应该成为对心血管疾病患者进行常规无创评估的一部分。
