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Figure 8.1. Left: The multielectrode (180 or 250) mapping vest for obtaining body surface potential
maps. Right: The geometry used in the definition of the Cauchy problem in electrocardiography.

abnormal distribution of spatial frequency bands (see Fig. 1.1), the true distribution of neuronal activity, knowledge of which could lead to more refined diagnoses, is masked or blurred by the conducting tissue layers between the central cortex and the electrodes.

Cardiac electrical activity is likewise spatially complex, and involves the propagation of excitation wave fronts in the heart. Standard electrocardiographic techniques such as electrocardiography (ECG) and vectorcardiography (VCG) are very limited in their ability to provide information on regional electrical activity and to localize bioelectrical events in the heart. In fact, VCG lumps all cardiac wave fronts into a single dipole located at the "center" of the heart and known as the "heart vector." Traditional ECG and VCG employ a small number of electrodes (6 or 12) to measure potentials from the body surface, and the patterns of electrical activity cannot give the information required for characterizing the electrical activity of the heart. Non-invasive electrocardiography requires simultaneous recordings of electrical potential from 100 to 250 torso sites in order to map the body surface potential. These body surface potential maps (BSPMs) reflect the regional time course of electrical activity of the heart, information that is important for clinical treatment; an example is localization of the accessory atrioventricular pathway in Wolff-Parkinson-White syndrome prior to surgical dissection or catheter ablation. Figure 8.1 shows a 180-electrode BSPM vest. The computer-controlled data acquisition system permits simultaneous recording from all 180 sites every millisecond throughout the cardiac cycle.

Body surface potential distribution is a very low resolution projection



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