Skip to main content
SpringerLink
Log in

Noninvasive detection of epicardial and endocardial activity of the heart

  • ICIN
  • Published:
Netherlands Heart Journal Aims and scope Submit manuscript

Abstract

Determining electrical activation of the heart in a noninvasive way is one of the challenges in cardiac electrophysiology. The ECG provides some, but limited information about the electrical status of the heart. This article describes a method to determine both endocardial and epicardial activation of the heart of an individual patient from 64 electrograms recorded from the body surface. Information obtained in this way might be helpful for the treatment of arrhythmias, to assess the effect of drugs on conduction in the heart and to assess electrical stability of the heart.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Gulrajani RM. The forward problem in electrocardiography. Bioelectricity and Biomagnetism. New York: Wiley; 1998. p. 348–80.

    Google Scholar 

  2. Cuffin BN, Geselowitz D. Studies on the electrocardiogram using realistic cardiac and torso models. IEEE Trans Biomed Eng. 1977;24:242–52.

    Article  PubMed  CAS  Google Scholar 

  3. Huiskamp GJM, van Oosterom A. Tailored versus realistic geometry in the inverse problem of electrocardiography. IEEE Trans Biomed Eng. 1989;36:827–35.

    Article  PubMed  CAS  Google Scholar 

  4. Potse M, Dubé B, Richer J, et al. A comparison of monodomain and bidomain reaction-diffusion models for action potential propagation in the human heart. IEEE Trans Biomed Eng. 2006;53:2425–35.

    Article  PubMed  Google Scholar 

  5. Colli-Franzone P, Guerri L, Tentonia S, et al. A mathematical procedure for solving the inverse potential problem of electrocardiography. Analysis of the time-space accuracy from in vitro experimental data. Math Biosci. 1985;77:353–96.

    Article  Google Scholar 

  6. Huiskamp GJM, Greensite F. A New Method for Myocardial Activation Imaging. IEEE Trans Biomed Eng. 1997;44:433–46.

    Article  PubMed  CAS  Google Scholar 

  7. Martin RO, Pilkington TC. Unconstrained Inverse Electrocardiography. IEEE Trans Biomed Eng. 1972;19:276–85.

    Article  PubMed  CAS  Google Scholar 

  8. Rudy Y, Burns JE. Noninvasive Electrocardiographic Imaging. Ann Noninv Electrocardiol. 1999;4:340–59.

    Article  Google Scholar 

  9. van Oosterom A. Genesis of the T wave as based on an equivalent surface source model. J Electrocardiography. 2001;34(Supplement 2001):217–27.

    Article  Google Scholar 

  10. Wilson FN, Macleod AG, Barker PS. The Distribution of Action Currents produced by the Heart Muscle and Other Excitable Tissues immersed in Conducting Media. J Gen Physiol. 1933;16:423–56.

    Article  PubMed  CAS  Google Scholar 

  11. Scher AM, Young AC, Malmgren AL, et al. Spread of Electrical Activity Through the Wall of the Ventricle. Cardiovasc Res. 1953;1:539–47.

    CAS  Google Scholar 

  12. Geselowitz DB. Description of cardiac sources in anisotropic cardiac muscle. Application of bidomain model. J Electrocardiol. 1992;25(Sup):65–7.

    Article  PubMed  Google Scholar 

  13. van Oosterom A, Jacquemet V. A Parameterized Description of Transmembrane Potentials used in Forward and Inverse Procedures. Int Conf Electrocardiol, Gdansk; Poland, Folia Cardiologica, 2005.

  14. Lux RL, Burgess MJ, Wyatt RF, et al. Clinically practical lead systems for improved electrocardiography: comparison with precordial grids and conventional lead systems. Circulation. 1979;59:356–63.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Interuniversity Cardiology Institute of the Netherlands, Utrecht, the Netherlands

    A. C. Linnenbank, P. Oosterhoff & J. M. T. de Bakker

  2. The Donders Institute for Brain, Cognition and Behaviour, Centre for Neuroscience, Radboud University Nijmegen, Nijmegen, the Netherlands

    T. F. Oostendorp, I. H. van Schie, A. van Oosterom & P. M. van Dam

  3. Department of Clinical and Experimental Cardiology, Academic Medical Center, Amsterdam, the Netherlands

    P. F. H. M. van Dessel, R. Coronel, C. Belterman, A. C. Linnenbank, P. Oosterhoff & J. M. T. de Bakker

Authors
  1. T. F. Oostendorp
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. F. H. M. van Dessel
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Coronel
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. Belterman
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. C. Linnenbank
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. I. H. van Schie
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. A. van Oosterom
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. P. Oosterhoff
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. P. M. van Dam
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. J. M. T. de Bakker
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. M. T. de Bakker.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Oostendorp, T.F., van Dessel, P.F.H.M., Coronel, R. et al. Noninvasive detection of epicardial and endocardial activity of the heart. Neth Heart J 19, 488–491 (2011). https://doi.org/10.1007/s12471-011-0206-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12471-011-0206-1

Keywords

Search

Navigation