de Micheli Alfredo, Iturralde-Torres Pedro
Instituto Nacional de Cardiología Ignacio Chávez, México.
Departamento de Electrofisiología, Instituto Nacional de Cardiología Ignacio Chávez, México.
Arch Cardiol Mex. 2015 Apr-Jun;85(2):145-9. doi: 10.1016/j.acmx.2014.10.004. Epub 2014 Dec 31.
We narrate the main stages of the long journey that led to the structuring of modern electrovectorcardiography based on the fundamentals established by Willem Einthoven (1860-1927), who held the physiology chair of the Leyden University (The Netherlands), and presented his string electrocardiograph in 1901. The Mexican electrovectorcardiography became strong thanks to the endeavor of Dr. Demetrio Sodi Pallares, a disciple of F.N. Wilson of Ann Arbor. Dr. Sodi Pallares founded the Mexican School of Electrovectorcardiography, which was a cornerstone in the field and was widely recognized internationally for several decades. This fact is due to the rational and not empirical approach to the electrical exploration of the heart, thanks to the application of the inductive-deductive Galilean procedure. It was then possible to obtain these results, through the study of myocardial depolarization and repolarization processes, under normal conditions and with bundle branch block, performed by Dr. Gustavo A. Medrano and collaborators, in the 1950 decade. The electrovectorcardiographic manifestations of the non complicated myocardial infarct were the object of studies, as well as those of the infarction complicated with rhythm and conduction disorders. Likewise, proximal and distal or peripheral blocks were studied. The current disciples of that School are now studying of cardiac arrhythmias with promising results.
我们讲述了这段漫长历程的主要阶段，这段历程促成了现代心电向量图学的形成，其基础是由威廉·艾因托芬（1860 - 1927 年）奠定的。艾因托芬曾任荷兰莱顿大学的生理学教授，并于 1901 年展示了他的弦线心电图仪。墨西哥的心电向量图学因德梅特里奥·索迪·帕拉雷斯博士的努力而发展壮大，他是安阿伯市的 F.N. 威尔逊的弟子。索迪·帕拉雷斯博士创立了墨西哥心电向量图学派，该学派是该领域的基石，几十年来在国际上广受认可。这一事实归功于对心脏电探索采用的理性而非经验性方法，得益于应用了伽利略的归纳 - 演绎法。通过古斯塔沃·A. 梅德拉诺博士及其合作者在 20 世纪 50 年代对正常条件下以及存在束支传导阻滞时心肌去极化和复极化过程的研究，才有可能取得这些成果。非复杂性心肌梗死的心电向量图表现以及伴有节律和传导障碍的梗死的心电向量图表现都是研究对象。同样，近端和远端或外周阻滞也得到了研究。该学派目前的弟子们正在研究心律失常，并取得了很有前景的成果。
