de Micheli A, Medrano G A
Departamento de Electrocardiografía y Vectocardiografía del Instituto Nacional de Cardiología Ignacio Chávez, México, D.F.
Arch Inst Cardiol Mex. 1989 Mar-Apr;59(2):195-210.
Clinical importance of the vectorcardiographic exploration (distant and spatial) of the myocardial electrical phenomenon is emphasized. This technique constitutes a useful integration of electrocardiographic exploration (near and analytical). The more characteristic morphological and chronological changes due to an inactivatable area are discussed in the light of ventricular myocardial depolarization. Some typical vectorcardiographic features corresponding to the presence of a myocardial inactivatable zone are presented. The utility of the complementary elements which vectorcardiography can bring to electrocardiography is emphasized. Both of these procedures integrate a rational exploration of electrical activity of the myocardium, the solid base of prognostic and therapeutic decisions in cases of myocardial infarction.
强调了心肌电现象的向量心电图探查（远距离和空间）的临床重要性。该技术构成了心电图探查（近距离和分析性）的有益整合。根据心室肌去极化，讨论了由于不可激活区域导致的更具特征性的形态和时间变化。呈现了一些与心肌不可激活区存在相对应的典型向量心电图特征。强调了向量心电图可为心电图带来的补充要素的实用性。这两种方法都整合了对心肌电活动的合理探查，而心肌电活动是心肌梗死病例中预后和治疗决策的坚实基础。
