Sunday, 15 August 2021

22-Lead ECG with using only 10 electrodes

The ECGmax provides not only the standard 12 leads, but also an additional ten, providing a much more comprehensive picture of the heart muscle, including its right side and posterior wall. The European Society of Cardiology guidelines recommend that these aspects be monitored whenever possible. Watch the cool 😎 video below for more information.


The benefits of a 22-lead ECG:

> 22 leads for broader diagnostics

> Posterior leads V7–V9

> Right cardiac leads V3r–V6r

> Orthogonal leads X, Y, Z, and Vectorloops

> Only 10 electrodes, extremities, and chest leads

22-lead ECG example with abnormal conduction  




22-lead ECG = 12-lead ECG, right heart,  posterior, Vector cardiogram/XYZ leads and vector loops.*




ECG System leads explained:  





Vectorloops:


Vectorloops model electrical conduction in the heart as a rotating dipole. The path of this vector's peak is spatially represented as a loop in a three-dimensional individual coordinate system. The loops correspond to the P wave, the QRS complex, and the T wave.

 With a healthy myocardium, the loops are regular and "fluid looking", as opposed to a myocardium with a dysfunction, where the conduction of the dipole is irregular and jagged.

The loops in a healthy myocardium are regular and "fluid looking," whereas in a dysfunctional myocardium, the dipole conduction is irregular and jagged.


Diagnostic Capabilities: until today, Frank’s vector ECG has represented a superior diagnostic possibility. Various ECG changes, e.g. a posterior infarct, are visible on a vector ECG but not on a classic 12-lead ECG. However, this method, although superior, has not caught on, as interpreting the 3D vector loop is extremely difficult and most literature and diagnostic teaching traditionally refers to the classic 12-lead ECG.

Cardiac Electrical Biomarkers:

https://corpuls.world/en/videos/ecgmax.php

 Another really cool feature:



ECGmax can also calculate the Cardiac Electrical Biomarker CEB® using the same electrodes. The CEBthree ®'s color-coded areas – normal, conspicuous, and abnormal – make it particularly easy to interpret myocardial ischemia, and the CEB® has comparable sensitivity and specificity to troponin.

   > Simple interpretation using the traffic light concept

     > Measured value is comparable to troponin

     > Fast reaction by measuring the electric field

     > High sensitivity and specificity

     > No additional electrodes required

     > Continuous value

     > Non-invasive measurement


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