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September 13, 1958

Electrocardiographic Analysis. Vol. 1: Biophysical Principles of Electrocardiography

JAMA. 1958;168(2):225. doi:10.1001/jama.1958.03000020087018

This volume attempts to build the background on which the contour of the clinical electrocardiogram depends. It deliberately neglects the recent work on transmembrane potentials—though mentioning it—and concentrates on the factors that give rise to the surface records. It is based on the excellent work, especially of the Wilson school, on electrical properties in a volume conductor, to which the author has made important contributions. While recognizing the modifications which the work of Frank and Burger, among others, have introduced on the simplified concept of the large homogenous electric volume conductor with a small central source of current generation, the author nevertheless minimizes their influence. His concept of a zero potential electrode has been seriously questioned by some. One wonders, furthermore, how important all the mathematical development may be and whether a verbal or graphic presentation would not have served as well. This would have avoided the tendency to dogmatism

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