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https://doi.org/10.22489/cinc....
Article . 2018 . Peer-reviewed
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DBLP
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Invariant Mean Electrical Axis in Electrocardiogram

Authors: Kjell Le; Trygve Eftestøl; Kjersti Engan; Øyunn Kleiven; Stein Ørn;

Invariant Mean Electrical Axis in Electrocardiogram

Abstract

The mean electrical axis (MEA) is is an important measurement in clinical assessment. However, currently there is no agreement on a standardized calculation of the MEA. In order to standardize the MEA calculation, the following issues need to be addressed: 1) The net direction or net potential in the measurement of MEA needs to be defined. 2) Which underlying heart model which describes the electrical activity of the heart to use. 3) Which electrocardiogram (ECG) leads to calculate MEA from. In present use for some applications, e.g. ECG-derived respiration, lead pairs I and III or I and aVF are used in axis calculation without further consideration of scaling and angle between the leads. This may cause an error up to 30° in the Einthoven model. The aim of this work is to derive correct systematic equations for determining the heart vector (dipole) and MEA from any pair of leads in the frontal plane. Since any pair of leads can define the frontal plane, it is more robust to calculate the MEA from each lead pair and take the mean of the results. From the results two different net potential definitions, $V_{area}$ and $V_{sum}$ gave approximately the same answer.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
Average
bronze