Preprint Hypothesis Version 1 Preserved in Portico This version is not peer-reviewed

Analysing Wilson’s and Goldberger’s Central Terminals: Theoretical Redesign of a Novel Central Terminal for Precordial Leads

Version 1 : Received: 11 August 2023 / Approved: 15 August 2023 / Online: 16 August 2023 (11:48:00 CEST)

How to cite: Bermejo Valdés, A.J. Analysing Wilson’s and Goldberger’s Central Terminals: Theoretical Redesign of a Novel Central Terminal for Precordial Leads. Preprints 2023, 2023081149. https://doi.org/10.20944/preprints202308.1149.v1 Bermejo Valdés, A.J. Analysing Wilson’s and Goldberger’s Central Terminals: Theoretical Redesign of a Novel Central Terminal for Precordial Leads. Preprints 2023, 2023081149. https://doi.org/10.20944/preprints202308.1149.v1

Abstract

This study delves into the foundational aspects of electrocardiographic (ECG) lead systems, specifically focusing on Einthoven’s Triangle and Wilson’s Central Terminal. We introduce the innovative concept of a Precordial Central Terminal, a strategic arrangement of thoracic electrodes that establishes two Einthoven’s triangles within the horizontal plane, in accordance with physical-mathematical principles. Furthermore, we meticulously scrutinize Goldberger’s contributions to the field of ECG, particularly augmented leads, which shed light on the development of our theory. Additionally, we propose the implementation of a novel standardized electrocardiograph, characterized by its use of exclusively “precordial” electrodes, yet capable of providing a comprehensive three-dimensional perspective of cardiac electrical activity. By amalgamating theoretical underpinnings with empirical experimentation, our study lays the groundwork for future investigations, including the experimental validation of our innovative Precordial Terminal. This validation holds the promise of yielding substantial advancements in the realm of clinical electrocardiography.

Keywords

electrocardiography; Einthoven’s Triangle; Wilson’s Central Terminal

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

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