A Concise History of the ECG: Difference between revisions

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'''1953''' Osborn, while experimenting with hypothermic dogs, describes the prominent J (junctional) wave, often known as the "Osborn wave". He found the dogs were more likely to survive if they had an infusion of bicarbonate and supposed the J wave was due to an injury current caused by acidosis. Osborn JJ. Experimental hypothermia: respiratory and blood pH changes in relation to cardiac function. Am J Physiol 1953;175:389.  
'''1953''' Osborn, while experimenting with hypothermic dogs, describes the prominent J (junctional) wave, often known as the "Osborn wave". He found the dogs were more likely to survive if they had an infusion of bicarbonate and supposed the J wave was due to an injury current caused by acidosis. Osborn JJ. Experimental hypothermia: respiratory and blood pH changes in relation to cardiac function. Am J Physiol 1953;175:389.  


[[File:Osborn-wave.gif|250px|right|150px|Osborn wave.  81-year-old black male with BP 80/62 and temperature 89.5 degrees F (31.94 C).]]  
[[File:Osborn-wave.gif|thumb|150px|right|Osborn wave.  81-year-old black male with BP 80/62 and temperature 89.5 degrees F (31.94 C).]]  


'''1955''' Richard Langendorf publishes the "rule of bigeminy" whereby ventricular bigeminy tends to perpetuate itself. Langendorf R, Pick A, Winternitz M. Mechanisms of intermittent ventricular bigeminy. I. Appearence of ectopic beats dependent upon the length of the ventricular cycle, the "rule of bigeminy." circulation 1955;11:442.  
'''1955''' Richard Langendorf publishes the "rule of bigeminy" whereby ventricular bigeminy tends to perpetuate itself. Langendorf R, Pick A, Winternitz M. Mechanisms of intermittent ventricular bigeminy. I. Appearence of ectopic beats dependent upon the length of the ventricular cycle, the "rule of bigeminy." circulation 1955;11:442.  
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'''1966''' François Dessertenne of Paris publishes the first case of '[[Torsade de pointes]]' Ventricular Tachycardia. <cite>Dessertenne</cite>
'''1966''' François Dessertenne of Paris publishes the first case of '[[Torsade de pointes]]' Ventricular Tachycardia. <cite>Dessertenne</cite>


'''1968''' Journal of Electrocardiography, the Official Journal of the International Society for Computerized Electrocardiology and the International Society of Electrocardiology, is founded by Zao and Lepeschkin.  
'''1968''' Journal of Electrocardiography, the Official Journal of the International Society for Computerized Electrocardiology and the International Society of Electrocardiology, is founded by Zao and Lepeschkin.


[[Image:HMarriott.jpg|thumb|150px|right|Barney Marriott. Image courtesy of [http://www.rogersheart.com/history.htm Rogers Heart Foundation]]]
'''1968''' Henry J. L. "Barney" Marriott MD, FACP, FACC introduces the modified CL [http://www.gjwhalen.com/pdf/EfMBtn3.pdf] ("MCL") system (M for modified, C for chest and L for left arm) for constant monitoring of patients in coronary intensive care units. <cite>Marriott1</cite><cite>Marriott2</cite><cite>Marriott3</cite><cite>Marriott4</cite>
'''1968''' Henry J. L. "Barney" Marriott MD, FACP, FACC introduces the modified CL [http://www.gjwhalen.com/pdf/EfMBtn3.pdf] ("MCL") system (M for modified, C for chest and L for left arm) for constant monitoring of patients in coronary intensive care units. <cite>Marriott1</cite><cite>Marriott2</cite><cite>Marriott3</cite><cite>Marriott4</cite>
[[Image:HMarriott.jpg|thumb|150px|Barney Marriott. Image courtesy of [http://www.rogersheart.com/history.htm Rogers Heart Foundation]]]


'''1969''' Rosenbaum reviews the classification of ventricular premature complexes and adds a benign form that arises from the right ventricle and is not associated with heart disease. This becomes known as the 'Rosenbaum ventricular extrasystole'. <cite>Rosenbaum</cite>
'''1969''' Rosenbaum reviews the classification of ventricular premature complexes and adds a benign form that arises from the right ventricle and is not associated with heart disease. This becomes known as the 'Rosenbaum ventricular extrasystole'. <cite>Rosenbaum</cite>
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'''1982''' Hein J. J. Wellens, et al. first described two electrocardiographic patterns that were predictive of tight, critical stenosis of the proximal left anterior descending (LAD) coronary artery and were subsequently termed Wellens' syndrome. <cite>Wellens</cite>
'''1982''' Hein J. J. Wellens, et al. first described two electrocardiographic patterns that were predictive of tight, critical stenosis of the proximal left anterior descending (LAD) coronary artery and were subsequently termed Wellens' syndrome. <cite>Wellens</cite>
[[File:Wellens' warning.png|thumb|150px|69-year-old black male; no chest pain; troponin 0.17 ng/mL. "Baseline" (top). Current (bottom) two years later; Wellens' warning.]]
 
[[File:Before-and-After copy.gif|thumb|150px|Coronary angiogram showing a tight, critical stenosis (95%) in the proximal left anterior descending coronary artery (left); After placement of a bare-metal stent (right). Wellens' warning.]]
[[File:Wellens' warning.png|thumb|150px|right|69-year-old black male; no chest pain; troponin 0.17 ng/mL. "Baseline" (top). Current (bottom) two years later; Wellens' warning.]]


'''1988''' Professor John Pope Boineau of Washington University School of Medicine publishes a 30-year perspective on the modern history of electrocardiography. <cite>Boineau</cite>
'''1988''' Professor John Pope Boineau of Washington University School of Medicine publishes a 30-year perspective on the modern history of electrocardiography. <cite>Boineau</cite>
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