Body surface potential mapping for detection of myocardial infarct sites

Using the additional information from multi-lead body surface potential recordings we aimed to study ECG features to predict the extent of infarcted myocardium as part of the 2007 PhysioNet/Computers in Cardiology Challenge. We studied potential and QT maps through key stages of the ventricular cycle assessing the 2 training and 2 test cases. Clinical assessment of the ECGs was provided by three cardiologists. QRS axis was abnormal in training case 1. ST was elevated in training case 1 and test case 2. T wave axis was abnormal in training case 2 and test case 1. T wave axis was different to QRS axis in training case 1. Cardiologists agreed that training cases 1 and 2 were anterior and inferior infarctions respectively, while they considered both test cases to be normal variations. The maps, however, showed significant abnormalities in the test cases.