Statistically Constrained Inverse Electrocardiography

This paper examines the feasibility of utilizing statistical constraints on the inverse potential model to determine the potential distribution over a 4 cm sphere surrounding the heart from perturbed torso potentials. These perturbed torso potentials reflect instrumentation, quadrature, electrode placement, and heart position uncertainties. This work is an extension of the authors' previous work which concluded that it is not feasible to determine this same potential distribution using unconstrained solutions. However, the results of the present work indicate that with the use of approximate signal and noise covariance matrices, it is possible to achieve estimates of this potential distribution with an average sum squared error of twenty-five percent. Further, the estimation of the signal and noise covariance matrices can be accomplished with a knowledge of heart geometry, torso geometry, The approximate measurement error, and a rough estimate of the time an average section of myocardium is depolarized, but without an a priori specification of the activation sequence.