de Micheli A, Medrano G A
Arch Inst Cardiol Mex. 1979 Mar-Apr;49(2):163-79.
The clinical importance of the spatial exploration of the cardiac electrical phenomenon (vectorcardiography), which is a very useful integration of the analytical and limited electrical exploration (electrocardiography), is outlined here. Reasons inducing the mexican school to prefer the Grishman's cube method for the vectorcardiographic recordings of other more elaborate and complex systems, are explained. The former reflects in a more reliable way the sequence of myocardial depolarization and repolarization. Morphological and chronological aspects characteristic of the normal vectorcardiogram in the frontal, horizontal and sagittal planes, are described. Additionally some typical examples corresponding to the three main electrical heart positions are presented. The vertical position is frequent in children and longilineal persons, the intermediate position is common in adults and the horizontal one is observed in age people and brevilineal persons. Some vectorcardiographic aspects typical of myocardial necrosis, injury and ischemia are discussed, underlining the importance of the complementary elements given by vectorcardiography.
本文概述了心脏电现象空间探索（向量心电图）的临床重要性，它是分析性且有限的电探索（心电图）的一种非常有用的整合。文中解释了墨西哥学派倾向于采用格里什曼立方体方法进行向量心电图记录，而非其他更精细复杂系统的原因。前者能更可靠地反映心肌去极化和复极化的顺序。描述了额面、水平面和矢状面正常向量心电图的形态学和时间方面特征。此外，还给出了对应于三种主要心脏电位置的一些典型示例。垂直位在儿童和瘦长体型者中常见，中间位在成年人中常见，而水平位在老年人和矮胖体型者中可见。文中讨论了心肌坏死、损伤和缺血的一些典型向量心电图表现，强调了向量心电图所提供补充要素的重要性。
