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On the potential of the Wilson central terminal with respect to an ideal reference for unipolar electrocardiography
N Miyamoto1, Y Shimizu, G Nishiyama
1Showa University Fujigaoka Hospital, Yokohama, Japan.
Abstract:
Body surface potential mapping was performed in 60 clinical cases and an ideal 0 potential was calculated in each case at 2msec intervals, which corresponds to the potential at infinity. Maximal deviation of the Wilson terminal voltage the ideal potential was 0.14mv on the average. Time course of potential variations of the central terminal was in proportion to the measured surface potentials. The lead vector of Wilson terminal was determined for each case, with a method to make a minimal difference between calculate and observed Wilson terminal voltage. The lead vector was directed superiorly and posteriorly with the magnitude of 24% of that of lead I on the average.