Clinical applications of body surface potential mapping

Accumulated evidence suggests that the electrocardiographic information provided by the standard 12-lead electrocardiogram can be improved by use of multilead electrocardiograms. The clinical utility of body surface potential mapping is related to the selective regional information provided by the increased number of leads. That clinical utility includes such things as improved localization of accessory pathways in preexcitation syndromes, improved localization of pacing sites within the ventricles, localization of late potentials, and improved recognition of acute myocardial ischemia. Recording equipment and interpretation schemes are available to make possible more widespread application of potential mapping.