Brisse B
Z Kardiol. 1987 Feb;76(2):65-71.
The continuous and direct registration of the vectorcardiogram was realized by cathode-ray oscillographic methods by F. Schellong in 1937 and hence introduced into clinical diagnostics. The following development of different lead systems resulted in the standardization of the corrected orthogonal Frank system, which yielded almost identical information when compared to the Schellong system. The advantages of this continuous registration of the 3-dimensional course of depolarization concern the detection of atrial and ventricular hypertrophy, because the sensitivity, as well as the specificity, of the vectorcardiogram are superior to the ECG. Possibilities of diagnosing myocardial infarction are considerably improved with regard to sensitivity, especially of scars with dorsal and inferior localization, as well as multiple events and simultaneous disturbances of fascicular and ventricular conduction. In addition, even multiple and small defects e.g. in cardiomyopathy or myocarditis, can be detected.
1937年，F. 谢隆通过阴极射线示波器方法实现了心电向量图的连续直接记录，并将其引入临床诊断。随后不同导联系统的发展导致了校正正交弗兰克系统的标准化，与谢隆系统相比，该系统能提供几乎相同的信息。这种对去极化三维过程的连续记录的优势在于检测心房和心室肥大，因为心电向量图的敏感性和特异性均优于心电图。在心梗诊断方面，尤其是对于后壁和下壁定位的瘢痕、多次发作以及束支和心室传导的同时紊乱，其敏感性有了显著提高。此外，即使是心肌病或心肌炎中的多个小缺陷也能被检测到。
