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May 1958, Vol 95, No. 5 >
Article | May 1958

Use of a Single-Lead ECG in the Detection of Congenital Heart Disease FREE

WILLIAM MORTON, M.D.; LEO LLOYD, M.D.; H. J. DODGE, M.D., M.P.H.; MURRAY S. HOFFMAN, M.D.
[+] Author Affiliations

Received for publication Nov. 25, 1957.


AMA Am J Dis Child. 1958;95(5):492-497. doi:10.1001/archpedi.1958.02060050496006.
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This study was undertaken in an attempt to investigate the hypothesis that a single-lead electrocardiogram taken from the right precordium (V3R) on a mass survey basis could detect a large proportion of operable congenital heart defects associated with right ventricular hypertrophy (RVH). These defects would include atrial septal defect, pulmonic stenosis, tetralogy of Fallot, "atypical" patent ductus arteriosus, and some varieties of ventricular septal defect.

The V3R lead was chosen as the single lead for study in accord with the findings of Sokolow and Lyon8 and of Katz et al.,2 who have demonstrated that right precordial leads seem to be the most sensitive indicators of RVH. Single leads have been used previously on ECG mass surveys.4 The single lead used has generally been standard Lead I and has been shown to be a rather poor indicator of heart disease when used as a

REFERENCES

1 +
Ireland, C. R.; Witham, A. C., and Harper, H. T.:  Congenital Heart Disease Among Mental Defectives and an Assessment of Cardiac Survey Methods , New England J. Med. 252:117, 1955;.
2 +
Katz, L. N.; Roseman, R. H.; Wilbur, E., and Shorr, B.:  The Value of the aV Limb Leads and the V Chest Leads V4R to V7 in Routine Clinical Electrocardiography , Am. Heart J. 40: 573, 1950;.
3 +
Maresh, G. J.; Dodge, H. J., and Lichty, J. A.:  Incidence of Heart Disease Among Colorado School Children: A State-Wide Study , J. A. M. A. 149:802, 1952;.
4 +
Phillips, E.; Chapman, J. M., and Goerke, L. S.:  Relative Values of Techniques Used in Detection of Heart Disease , Am. Heart J. 45: 319, 1953;.
5 +
Rauh, L. W.:  The Incidence of Organic Heart Disease in School Children , Am. Heart J. 18:705, 1939;.
6 +
Rhodes, P.:  Diagnosis of Innocent Heart Murmurs in Children , GP 12:69, 1955;.
7 +
Richards, M. R., et al.:  Congenital Malformations of the Cardiovascular System in a Series of 6053 Infants , Pediatrics 15:12, 1955;.
8 +
Sokolow, M., and Lyon, T. P.:  The Ventricular Complex in Right Ventricular Hypertrophy as Obtained by Unipolar, Precordial, and Limb Leads , Am. Heart J. 38:273, 1949;.
9 +
Nadas, A. S.: Pediatric Cardiology , Philadelphia, W. B. Saunders Company, 1957;.
10 +
Witham, A. C., and Coggins, R. T.:  An Electrocardiographic Technique for Mass Surveys , Am. Heart J. 51:199, 1956;.

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References

1 +
Ireland, C. R.; Witham, A. C., and Harper, H. T.:  Congenital Heart Disease Among Mental Defectives and an Assessment of Cardiac Survey Methods , New England J. Med. 252:117, 1955;.
2 +
Katz, L. N.; Roseman, R. H.; Wilbur, E., and Shorr, B.:  The Value of the aV Limb Leads and the V Chest Leads V4R to V7 in Routine Clinical Electrocardiography , Am. Heart J. 40: 573, 1950;.
3 +
Maresh, G. J.; Dodge, H. J., and Lichty, J. A.:  Incidence of Heart Disease Among Colorado School Children: A State-Wide Study , J. A. M. A. 149:802, 1952;.
4 +
Phillips, E.; Chapman, J. M., and Goerke, L. S.:  Relative Values of Techniques Used in Detection of Heart Disease , Am. Heart J. 45: 319, 1953;.
5 +
Rauh, L. W.:  The Incidence of Organic Heart Disease in School Children , Am. Heart J. 18:705, 1939;.
6 +
Rhodes, P.:  Diagnosis of Innocent Heart Murmurs in Children , GP 12:69, 1955;.
7 +
Richards, M. R., et al.:  Congenital Malformations of the Cardiovascular System in a Series of 6053 Infants , Pediatrics 15:12, 1955;.
8 +
Sokolow, M., and Lyon, T. P.:  The Ventricular Complex in Right Ventricular Hypertrophy as Obtained by Unipolar, Precordial, and Limb Leads , Am. Heart J. 38:273, 1949;.
9 +
Nadas, A. S.: Pediatric Cardiology , Philadelphia, W. B. Saunders Company, 1957;.
10 +
Witham, A. C., and Coggins, R. T.:  An Electrocardiographic Technique for Mass Surveys , Am. Heart J. 51:199, 1956;.

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