The inconsistencies of present-day mathematical-physical methods pertaining to current generators in volume conductors used in electrocardiography

The present-day practices of electrocardiography and vectorardiography are based upon the theory that the surface potential differences can be assumed to be due to a single dipole inside the body. It is shown in this paper that a dipole cannot account for all the surface potentials due to realistic current generators, and hence the determination of the current generator from surface potential measurements based upon such a theory will lead to inconsistent representations of the heart for one and the same subject. To demonstrate this point two eccentric dipoles of different strengths and locations representing two muscle fibers are taken to be the current generator in a homogeneous spherical conductor. The exact surface potentials are then expressed by means of the “interior sphere theorem” of the authors. With these expressions the magnitude, direction, and location of the resultant dipole are determined by the method of D. Gabor and C. V. Nelson (J. App. Physics,25, 413–16, 1954). The surface potentials due to this resultant dipole are again exactly expressed by means of the “interior sphere theorem” and compared with those due to the eccentric dipoles assumed. It can be seen that the differences can be considerable. It is suggested that the multipole model of the authors (Bull. Math. Biophysics,20, 203–16, 1958) be used as a more accurate and the only unique representation of the heart. This investigation was supported by the National Heart Institute under a research grant H-2263(c).