de Micheli A, Medrano G A
Arch Inst Cardiol Mex. 1986 Jul-Aug;56(4):357-65.
A panoramic view of the development of electrovectorcardiography from its beginnings until the present is reported. The functional essence of this exploratory method is emphasized and the basic steps of its evolution are described: the bipolar or differential leads in the beginning, the distal unipolar leads and the initial vectorcardiography in the 30s, the proximal unipolar leads in the 40s, the His electrograms and intracavitary and thoracic mapping in the 60s and later, the continuous records on a magnetic band. The evolution from Einthoven's original electrocardiograph to the modern apparatus of direct inscription and cathode-ray oscillographs is also described. Finally, the contribution of the Mexican School to a rational approach to electrovectorcardiography and clarification of some aspects of myocardial electrophysiopathology is presented.
本文报道了心电向量图从起源到现在的发展全景。强调了这种探索性方法的功能本质,并描述了其发展的基本步骤:最初的双极或差分导联,20世纪30年代的远端单极导联和初始向量心电图,40年代的近端单极导联,60年代及以后的希氏束电图、心腔内和胸壁标测,以及磁带上的连续记录。还描述了从艾因托芬最初的心电图仪到现代直接记录仪器和阴极射线示波器的演变。最后,介绍了墨西哥学派在合理应用心电向量图以及阐明心肌电生理病理学某些方面所做的贡献。