THE CHOICE OF PRECORDIAL LEADS IN THE DIAGNOSIS OF CORONARY ARTERY DISEASE
Authors: M POMERANCE, J B HOFFMAN, G J ASHE
Journal: Annals of Internal Medicine (1952)

Article1 March 1952THE CHOICE OF PRECORDIAL LEADS IN THE DIAGNOSIS OF CORONARY ARTERY DISEASEMAX POMERANCE, M.D., JULIAN B. HOFFMAN, M.D., GEORGE J. ASHE, M.D.MAX POMERANCE, M.D.Search for more papers by this author, JULIAN B. HOFFMAN, M.D.Search for more papers by this author, GEORGE J. ASHE, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-36-3-811 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptRecent progress in the clinical application of the electrocardiogram has led to its widespread usage by the general practitioner. In private practice the majority of doctors requesting cardiac consultation have taken the initial electrocardiogram. For these physicians, the choice of precordial leads has become a problem because of the listing of CF, V, CL and CR leads on the universal lead selector switch of the new electrocardiograph machines and the replacement of CF by V leads in many hospitals. The value of multiple precordial leads has been amply demonstrated.1-4The type of precordial lead, on the other hand, has been...Bibliography1. RosenmanSilberKatzShorr RHELNB: The value of the AV limb leads and the V chest leads in routine clinical electrocardiography, Am. Heart J. 40: 573-589, 1950. CrossrefMedlineGoogle Scholar2. MyersKleinStofer GBHABE: Correlation of electrocardiographic and pathological findings in anteroseptal infarction, Am. Heart J. 36: 535-575, 1948. CrossrefMedlineGoogle Scholar3. MyersKleinHiratka GBHAT: Correlation of electrocardiographic and pathological findings in infarction of the intraventricular septum and right ventricle, Am. Heart J. 37: 720-769, 1949. CrossrefMedlineGoogle Scholar4. MyersKleinHiratka GBHAT: Correlation of electrocardiographic and pathological findings in large anterolateral infarcts, Am. Heart J. 36: 838-881, 1948. CrossrefMedlineGoogle Scholar5. ; Standardization of precordial leads, Am. Heart J. 15: 107, 235, 1938. CrossrefGoogle Scholar6. WilsonJohnstonRosenbaumErlangerKossmannHechtCotrimDeOliveraScorsiBarker FNFDFFHCEHNRMRPS: The precordial electrocardiogram, Am. Heart J. 27: 19-85, 1944. CrossrefGoogle Scholar7. HermannHejtmencikKopecky GRMRJW: The superiority of the Wilson leads and the value of unipolar limb and precordial derivations in clinical electrocardiography, Am. Heart J. 40: 680-695, 1950. CrossrefMedlineGoogle Scholar8. KistinBrill ADWD: Clinically significant differences between precordial electrocardiograms derived from V and CF leads, Ann. Int. Med. 33: 636-648, 1950. LinkGoogle Scholar9. Leatham A: The chest lead electrocardiograph in health, Brit. Heart J. 12: 213, 1950. CrossrefMedlineGoogle Scholar10. WilsonJohnstonRosenbaumBarker FNFDFFPS: On Einthovens triangle. The theory of unipolar electrocardiographic leads and the interpretation of the precordial electrocardiogram, Am. Heart J. 32: 273-310, 1946. CrossrefGoogle Scholar11. MyersKleinStoferHiratka GBHABET: Normal variations in multiple precordial leads, Am. Heart J. 34: 785-808, 1947. CrossrefMedlineGoogle Scholar12. MyersKleinStofer GBHABE: The electrocardiographic diagnosis of right ventricular hypertrophy, Am. Heart J. 35: 1-40, 1948. CrossrefMedlineGoogle Scholar13. SokolowLyon MTP: The ventricular complex in left ventricular hypertrophy as obtained by unipolar precordial and limb leads, Am. Heart J. 37: 161-186, 1949. CrossrefMedlineGoogle Scholar14. SokolowLyon MTP: The ventricular complex in right ventricular hypertrophy as obtained by unipolar precordial and limb leads, Am. Heart J. 38: 273-394, 1949. CrossrefMedlineGoogle Scholar15. WolferthLivezey CCMM: A study of methods of making socalled unipolar electrocardiograms, Am. Heart J. 27: 764-782, 1944. CrossrefGoogle Scholar16. WallaceGrossman LN: The precordial electrocardiogram. A comparison of CF and V lead connections, Brit. Heart J. 8: 83-86, 1946. CrossrefGoogle Scholar17. Rosenman RH: Observations on the genesis of the electrocardiogram, Am. Heart J. 40: 522-530, 1950. CrossrefMedlineGoogle Scholar18. WilsonHermann FNGR: Quoted by Wilson et al.10 Google Scholar19. FahrWeber GA: ibid. Google Scholar20. Wagner G: ibid. Google Scholar21. JohnstonKossmanWilson FDCEFN: ibid. Google Scholar22. DolginGrauKatz MSLN: Experimental studies on the validity of the central terminal of Wilson as an indifferent reference point, Am. Heart J. 37: 868-880, 1946. CrossrefGoogle Scholar23. LowenPardee HJHE: Unipolar extremity leads in records with large Q3 , Ann. Int. Med. 31: 456-462, 1949. LinkGoogle Scholar24. RisemanJosephs JEBN: Multiple lead electrocardiograms in angina pectoris, Am. Heart J. 40: 260-270, 1950. CrossrefMedlineGoogle Scholar25. AshmanHidden REH: Rightward deviation of axis of the T wave as an index of myocardial disease, Ann. Int. Med. 12: 1682-1689, 1939. LinkGoogle Scholar26. Dressler W: Myocardial infarction indicated by an electrocardiographic pattern in which T1 is lower than T3 , Am. Heart J. 26: 313-332, 1943. CrossrefGoogle Scholar27. DresslerRoessler WH: Diagnostic value of the pattern T1 lower than T3 compared with the information yielded by multiple chest leads in myocardial infarction, Am. Heart J. 36: 115-132, 1948. CrossrefMedlineGoogle Scholar28. SokolowFriedlander MRD: The normal unipolar precordial and limb lead electrocardiogram, Am. Heart J. 38: 665-687, 1949. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Brooklyn, N. Y.*Received for publication May 11, 1951.From the Department of Cardiology, Beth-El Hospital, Brooklyn, N. Y. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe vector and algebraic relationship of the CF and V chest leadsARE THE V LEADS ALWAYS SUPERIOR?H. J. L. M. 1 March 1952Volume 36, Issue 3Page: 811-826KeywordsElectrocardiographyStable coronary artery disease ePublished: 1 December 2008 Issue Published: 1 March 1952 PDF downloadLoading ...