Bipolar Esophageal Electrocardiography in Unusual Cardiac Mechanisms
Authors: G. DANIEL COPELAND
Journal: Annals of Internal Medicine (1964)

Article1 June 1964Bipolar Esophageal Electrocardiography in Unusual Cardiac MechanismsG. DANIEL COPELAND, M.D., F.A.C.P. (ASSOCIATE), NATHAN C. SALKY, M.D., DANIEL A. BRODY, M.D.G. DANIEL COPELAND, M.D., F.A.C.P. (ASSOCIATE)Search for more papers by this author, NATHAN C. SALKY, M.D.Search for more papers by this author, DANIEL A. BRODY, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-60-6-999 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSince 1906, when Cremer (1) first reported use of an intra-esophageal electrocardiographic electrode, such electrodes have been intermittently employed for the study of cardiac mechanisms. Because the esophagus is anatomically located close by the left atrium, a properly placed esophageal electrode is virtually a semidirect lead to the left atrium and electrocardiograms recorded from this position have very large P-waves. The P-waves are frequently small and difficult to identify in routine electrocardiograms recorded from body-surface electrodes, especially in complex cardiac mechanisms. In recent years, the unipolar esophageal lead has been used more frequently in the diagnosis of cardiac arrhythmias with...References1. CREMER M: Ueber die direckte Ableitung der Aktionsstrome des menschlichen Herzen vom Oesophagus und uber das Elektrokardiogram des Fotus. Munchen med. Wschr. 53: 811, 1906. Google Scholar2. KISTINBRUCE ADJC: Simultaneous esophageal and standard electrocardiographic leads for the study of cardiac arrhythmias. Amer. Heart J. 53: 65, 1957. CrossrefMedlineGoogle Scholar3. RUBINJAGENDORTGOLDBERG ILBAL: The esophageal lead in the diagnosis of tachycardia with aberrant ventricular conduction. Amer. Heart J. 57: 19, 1959. CrossrefMedlineGoogle Scholar4. RODENSKYWASSERMAN PLF: Esophageal electrocardiography. Amer. Heart J. 64: 444, 1962. CrossrefMedlineGoogle Scholar5. BELLET S: Clinical Disorders of the Heart Beat, Lea & Febiger, Philadelphia, 1953. Google Scholar6. CORDAYIRVING EDW: Disturbances of Heart Rate, Rhythm, and Conduction, W. B. Saunders Company, Philadelphia, 1961, pp. 62, 131. Google Scholar7. BRODYHARRISROMANS DATRWC: A simple method for obtaining esophageal electrocardiograms of good diagnostic quality. Amer. Heart J. 50: 923, 1955. CrossrefMedlineGoogle Scholar8. BRODYCOPELAND DAGD: The principles of esophageal electrocardiography. Amer. Heart J. 57: 3, 1959. CrossrefMedlineGoogle Scholar9. COPELANDTULLISBRODY GDIFDA: Clinical evaluation of a new esophageal electrode with particular reference to the bipolar esophageal electrocardiogram. Ibid., 862. Google Scholar10. KISTIN AD: Retrograde conduction to the atria in ventricular tachycardia. Circulation 24: 236, 1961. CrossrefMedlineGoogle Scholar11. KISTIN AD: Multiple pathways of conduction and reciprocal rhythm with interpolated ventricular premature systoles. Amer. Heart J. 65: 162, 1963. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: G. DANIEL COPELAND, M.D., F.A.C.P. (ASSOCIATE); NATHAN C. SALKY, M.D.; DANIEL A. BRODY, M.D.Affiliations: Memphis, TennesseeFrom the Department of Medicine, University of Tennessee, Memphis, Tennessee.The work reported herein was obtained from a study supported by grant H1362(C8) of the United States Public Health Service, Bethesda, Maryland.Presented at the Forty-fourth Annual Session of the American College of Physicians, Denver, Colorado, April 2, 1963.Requests for reprints should be addressed to G. Daniel Copeland, M.D., 858 Madison Avenue, Memphis, Tennessee. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byGuide to the Interpretation of Cardiac ArrhythmiasA simple, disposable esophageal electrode constructed at bedside 1 June 1964Volume 60, Issue 6Page: 999-1008KeywordsArrhythmiaAtrial fibrillationElectrocardiographyElectrode recordingEsophagusLeft atriumMedical servicesTachycardia ePublished: 1 December 2008 Issue Published: 1 June 1964 PDF downloadLoading ...