Towards a better understanding of the precordial leads : an engineering point of view

Abstract

This thesis provides comprehensive literature review of the electrocardiography evolution to highlight the important theories behind the development of the electrocardiography device. More importantly, it discusses different electrode placement on the chest, and their clinical advantages. This work presents a technical detail of a new ECG device which was developed at MARCS institute and can record the Wilson Central Terminal (WCT) components in addition to the standard 12-lead ECG. This ECG device was used to record from 147 patients at Campbelltown hospital over three years. The first two years of recording contain 92 patients which was published in the Physionet platform under the name of Wilson Central Terminal ECG database (WCTECGdb). This novel dataset was used to demonstrate the WCT signal characterisation and investigate how WCT impacts the precordial leads. Furthermore, the clinical influence of the WCT on precordial leads in patients diagnosed with non-ST segment elevation myocardial infarction (NSTEMI) is discussed. The work presented in this research is intended to revisit some of the ECG theories and investigate the validity of them using the recorded data. Furthermore, the influence of the left leg potential on recording the precordial leads is presented, which lead to investigate whether the WCT and augmented vector foot (aVF) are proportional. Finally, a machine learning approach is proposed to minimise the Wilson Central Terminal.

Date of Award	2021
Original language	English