External recording of His bundleelectrical activity (author's transl)

A noninvasive method to record His' potentials in man is described. In several patients who needed intracardiac recording, a bipolar lead was placed across the chest, directed as conveniently as possible for the recording of His bundle electrical activity. A signal filtered (70-300 Hz) and amplified (X 100.000), was processed by a multichannel analyzer for averaging. The temporal regime of the averager was determined by a trigger which established a fiducial point on the ECG. For this purpose a QRS detector fed to a normal peripheral bipolar lead was used. The temporal stability of the system was continually checked in order to reject the recordings over the limits of +/- 1 msec. The computer program was chosen in order to select a window (usually 200 msec) which occurred up to 150 msec prior and 50 msec after the trigger signal. The sampling rate was 5 KHz for 1024 samples and the sweep counts were fixed from 128 to 512. At the same time, the D1, D2 and D3 were recorded in the other three channels of the analyzer for a more accurate measurement of the HV interval. Then an example comparing the external and interval recording was presented. Finally several external recordings were measured and the exact reproducibility of the G wave was confirmed. In conclusion we can say that the G wave is significant and suggests the electrical activity of the bundle of His.