Active muscle fiber as an equivalent cardiac current generator

Equations are derived describing potentials due to an active muscle fiber in an infinite medium in terms of two surface integrals—one of the propagated action potential and the other of the membrane current density, both integrals being taken over the surface of the muscle. These equations are incorporated into an equivalent cardiac current generator in which the left ventricle (i.e. the current source) is represented by a three-dimensional wedge and the thorax (i.e. the volume conductor), by a homogeneous circular cylinder. Since this current generator expresses the body surface potentials in terms of the membrane current density and the membrane potential at any point on the surface of the electrically active muscle fiber, the calculated ECG can be correlated with theactual sources within the heart. This equivalent cardiac generator possesses many of the physical and physiological properties of cardiac muscle. The equations were evaluated numerically on a digital computer. The results indicate that equivalent cardiac current generators of this type can yield clinically significant results and that further research is necessary to investigate their properties fully.