The substitution of a tetrahedron for the Einthoven triangle

Abstract

In an experiment on a cadaver, a potential difference was rhythmically impressed upon two small electrodes thrust into the heart or its immediate neighborhood. The resulting differences in potential between a central terminal and four electrodes connected to it through equal resistances were recorded with the string galvanometer. The four electrodes were on the two arms, the left leg, and the left interscapular region. By assuming that the electrical field generated in the trunk was equivalent to that of a centric doublet in a homogeneous spherical conductor and that the four electrodes were at the apices of a tetrahedron inscribed in this sphere, the experimental and the theoretical amplitudes of the deflections in the four leads could be compared. In general, it may be said that, with one exception, the deflections in the limb leads had the relative magnitudes expected. The deflections in the lead from the back were much smaller than anticipated. The last result is attributed to circumstances peculiar to the single experiment performed.