Contributions to electrocardiographic science

Type of content
Theses / Dissertations
Publisher's DOI/URI
Thesis discipline
Electrical Engineering
Degree name
Doctor of Philosophy
Publisher
University of Canterbury. Electrical Engineering
Journal Title
Journal ISSN
Volume Title
Language
Date
1981
Authors
Bones, P. J.
Abstract

This thesis reports original theoretical and experimental studies related to the measurement and interpretation of the electrical activity of the heart. The relevant literature and clinical practice are reviewed at length. Part I is a review of the science of electrocardiography. Included in the review are the electrophysiology of the heart, the potential theory which relates the electrocardiogram (E.C.G.) to its source, the various schemes used to measure and interpret the E.C.G. and the use of computer modelling to aid in E.C.G. interpretation. The effects of body shape and internal conductivity inhomogeneities on the E.C.G. are studied by means of a computer model. A simple form of the model has a piecewise homogeneous interior with spherical boundaries and a surface admittance is invoked to model changes in the surface shape. An extended form of the model allows the boundaries to be irregular and it is solved by means of an integral equation and the extended boundary condition. Representative numerical results are presented, illustrating the practical utility of the model. The sensitivity of the E.C.G. to certain types of inhomogeneity and surface shape changes is established. An experimental study, supported by a computer model based on the techniques outlined above, of the non-invasive detection of the signals from the ventricular specialised conduction system is reported. Thirty-five subjects were studied using a measurement system with a frequency response extending from 0.1 Hz to 500 Hz (-3 dB points) and using a pair of chest electrodes (similar to Lead CM1), Signal averaging was performed on groups of approximately 50 beats, using the onset of the QRS wave as a timing reference. The signals were detected with certainty in 85% of the subjects studied. The typical measured signal waveform is remarkably similar to that predicted by the aforementioned computer modelling technique. Two features are identified: an initial positive deflection (which probably represents the initial activation of the bundle branches) and a notch approximately 10 msec later (which may represent the passage of the activation into the bundle branches),

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Rights
Copyright P. J. Bones