Journal of Capital Medical University ›› 1986, Vol. 7 ›› Issue (1): 32-37,8.

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Real Time Recording of His-Purkinje Activity on an Every-beat Basis by Using Computer Processing—Spatial Logic Averaging Method

Wang Jiarui1   

  • Received:1900-01-01 Revised:1900-01-01 Online:1986-01-15 Published:1986-01-15

Abstract: On the principle of“Multiehannal Signal Processing based on logicaveraging”described by Flowers et al in 1981,we have developed a newhardware and software system for real time recording of His-Purkinje activity on an every-beat basis.The methodology and concrete problemsof this new technique were discussed.There was a close correlation between spatial logic averaging methodand His bundle electrogram recorded by catheter electrode in 9experimental dogs before and after medication.It was proved that thenon-invasive every-beat recording of His-purkinje activity might be usedinstead of the invasive intracardiac electrode.We obtained 41 satisfactory real time beat-by-beat recordings ofHis-Purkinje potential from the body surface of 46 normal subjects andarrhythmic patients (multiple premature beats,atrial fibrillation andvarious A-V block patients),who accepted the spatial logic averagingexamination.The value of this new technique in clinical practice was demonstrated