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The very title implies integration of vectorcardiography and electrocardiography, and with its preface "clinical" that its place and usefulness in clinical practice is to be discussed. Its publication represents a compliment to the profession assuming that such an elaborately prepared opus will find many curiosity-driven readers and ready acceptance. The vectorial presentation of the clinical electrocardiogram, no more than the "wire loop of a frustrated earthworm" to some disturbed observers only ten years ago, is presently accepted as an adequately precise handling of all we know about it. The quips are muted by the usual process of time and in part through the explanatory discussions which come with it. If, after so many years, the efforts and minds of a constantly increasing number of men are occupied with it, there must be something more to it than just coincidence to have not only withstood, but grown under the unfailing test