Characteristics of the spatial VCG was examined for the purpose of application to automatic diagnosis of the ECG. The analysis aimed at improvement of the diagnostic logics and parameters reported previously. Spatial VCG data series were obtained by the same procedure and analysed by the same on-line system as reported previously.
The relationship between the time interval of the beginning of QRS vector to the maximum magnitude vector and that of the maximum magnitude vector to the end of QRS vector was very effective for differential diagnosis of intraventricular conduction disturbances.
It was confirmed by frequency distribution of maximum QRS vectors that many false positive cases were included in the cases with left ventricular hypertrophy diagnosed by the conventional ECG lead system. Polar vector of an approximated plane of the initial QRS vectors was an useful parameter in diagnosing anterior myocaldial infarction. If an increase in the included angle between the maximum vectors of QRS and T is attended with an increase in the included angle between polar vectors of those planes, myocardial damage will be certainly diagnosed. Planarity of an approximated plane was represented by RMS of angles between instantaneous vectors and a plane. It was inevitably favorable in normal QRS vector.
Coordinate of the lead axes was transformed to patient's own heart axes. New coordinate was framed by maximum magnitude vector (X), polar vector (Y), and orientation at the right angle to both the former two (Z). Another attempt was made to establish the magnitude normalized VCG, whereby orientation of the spatial vector was extracted. An accurate pattern recognition of the spatial vector loop was successfully performed by the above procedure, because the electrical orientation of the heart displayed in a patient's peculiar frame was independent of anatomical heart position.
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