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Author(s): Joel Howell, M.D., Ph.D., 2009

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History of the Electrocardiogram

            M1 – Cardiovascular/Respiratory
                      Sequence




Fall 2009
Luigi Galvani, ECGpedia
Luigi Galvani
Luigi Galvani
A.D. Waller, ECGpedia
A.D. Waller
A.D. Waller, Images in Paediatric Cardiology
Lippmann electrometer, wikimedia commons
Source Undetermined
Source Undetermined
Source Undetermined
Source Undetermined
Willem Einthoven. Arch. Internat. Physiol. 4:132, 1906
Willem Einthoven
Willem Einthoven
Willem Einthoven
Source Undetermined
Bramwell B. (1884) Diseases of the Heart. Young J. Pentland, Edinburgh
Source Undetermined
Source Undetermined
Source Undetermined
Source Undetermined
Source Undetermined
Lews. Mechanism and Graphic Registration of the Heart Beat. Shaw & Sons, 1920
Source Undetermined
Source Undetermined
•  “It is extremely questionable if anything
   material is to be gained by the use of this
   method.”




  Source Undetermined
•  “The chief practical discovery of our time,
   the almost specific action of digitalis in
   cases of gross irregularity of the heart was
   accomplished . . . long before we knew
   this discovery to be due to fibrillation. And
   the discovery that it is due to auricular
   fibrillation has been responsible for little or
   no change in the treatment of the disease
   by digitalis or by quinidine.”
  Source Undetermined
•  “The information that is obtained from a
   man handling the patient is entirely lost in
   taking electrocardiograms. Taking a
   tracing of a pulse, radial or jugular, calls
   attention to features which the naked eye
   can recognize. If medicine is to make any
   progress at all, the symptoms of disease
   must be detected by the unaided senses.”

  Source Undetermined
•  “The chief weapons of the practitioner are
   to-day and will remain his own unaided
   senses . . . Believe me, you will never see
   the day when the medical practitioner will
   rightly interpret delicate records of the hart
   beat, but you will see the day when he will
   know the chief things which these records
   have taught us and how he may utilize that
   knowledge in his daily work.”
  Source Undetermined
Histories of The Chicago Literary Club
Source Undetermined
Source Undetermined
Source Undetermined
Source Undetermined
Source Undetermined
Source Undetermined
Source Undetermined
Source Undetermined
Source Undetermined
Source Undetermined
More tracings




   Source Undetermined
Source Undetermined
Source Undetermined
Willem Einthoven
Source Undetermined
Images of Diego Rivera mural
  ”The History of Cardiology,
Panel 1 1943-1944 Fresco 6 x
    4.05 m Tlalpan, Ibero
     American University
   Auditorium, Mexico City”
           removed
Source Undetermined
Source Undetermined
Source Undetermined
Additional Source Information
                       for more information see: http://open.umich.edu/wiki/CitationPolicy

Slide 4: Luigi Galvani, ECGpedia, http://en.ecgpedia.org/wiki/File:Waller.jpg
Slide 5: Luigi Galvani
Slide 6: Luigi Galvani
Slide 7: A.D. Waller, ECGpedia, http://en.ecgpedia.org/wiki/File:Waller.jpg
Slide 8: A.D. Waller
Slide 9: A.D. Waller, Images in Paediatric Cardiology, http://www.sahha.gov.mt/pages.aspx?page=665
Slide 10: Lippmann electrometer, Wikimedia Commons, http://commons.wikimedia.org/wiki/File:Kapillarelektrometer.jpg
Slide 11: Source Undetermined
Slide 12: Source Undetermined
Slide 13: Source Undetermined
Slide 14: Source Undetermined
Slide 15: Willem Einthoven. Arch. Internat. Physiol. 4:132, 1906
Slide 16: Willem Einthoven
Slide 17: Willem Einthoven
Slide 18: Willem Einthoven
Slide 19: Source Undetermined
Slide 20: Bramwell B. (1884) Diseases of the Heart. Young J. Pentland, Edinburgh
Slide 21: Source Undetermined
Slide 22: Source Undetermined
Slide 23: Source Undetermined
Slide 24: Source Undetermined
Slide 25: Source Undetermined
Slide 26: Lews. Mechanism and Graphic Registration of the Heart Beat. Shaw & Sons, 1920
Slide 27: Sources Undetermined
Slide 32: Histories of The Chicago Literary Club, http://www.chilit.org/Histories/Herrick%20photo.jpg
Slide 33: Source Undetermined
Slide 34: Source Undetermined
Slide 35: Source Undetermined
Slide 36: Source Undetermined
Slide 37: Source Undetermined
Slide 38: Source Undetermined
Slide 39: Source Undetermined
Slide 40: Source Undetermined
Slide 41: Source Undetermined
Slide 42: Source Undetermined
Slide 43: Source Undetermined
Slide 44: Source Undetermined
Slide 45: Source Undetermined
Slide 46: Willem Einthoven
Slide 47: Source Undetermined
Slide 49: Source Undetermined
Slide 50: Source Undetermined
Slide 51: Source Undetermined

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10.31.08(b): Lecture Handout - History of the Electrocardiogram

  • 1. Author(s): Joel Howell, M.D., Ph.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/ We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact open.michigan@umich.edu with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.
  • 2. Citation Key for more information see: http://open.umich.edu/wiki/CitationPolicy Use + Share + Adapt { Content the copyright holder, author, or law permits you to use, share and adapt. } Public Domain – Government: Works that are produced by the U.S. Government. (17 USC § 105) Public Domain – Expired: Works that are no longer protected due to an expired copyright term. Public Domain – Self Dedicated: Works that a copyright holder has dedicated to the public domain. Creative Commons – Zero Waiver Creative Commons – Attribution License Creative Commons – Attribution Share Alike License Creative Commons – Attribution Noncommercial License Creative Commons – Attribution Noncommercial Share Alike License GNU – Free Documentation License Make Your Own Assessment { Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. } Public Domain – Ineligible: Works that are ineligible for copyright protection in the U.S. (17 USC § 102(b)) *laws in your jurisdiction may differ { Content Open.Michigan has used under a Fair Use determination. } Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (17 USC § 107) *laws in your jurisdiction may differ Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that your use of the content is Fair. To use this content you should do your own independent analysis to determine whether or not your use will be Fair.
  • 3. History of the Electrocardiogram M1 – Cardiovascular/Respiratory Sequence Fall 2009
  • 9. A.D. Waller, Images in Paediatric Cardiology
  • 15. Willem Einthoven. Arch. Internat. Physiol. 4:132, 1906
  • 20. Bramwell B. (1884) Diseases of the Heart. Young J. Pentland, Edinburgh
  • 26. Lews. Mechanism and Graphic Registration of the Heart Beat. Shaw & Sons, 1920
  • 28. •  “It is extremely questionable if anything material is to be gained by the use of this method.” Source Undetermined
  • 29. •  “The chief practical discovery of our time, the almost specific action of digitalis in cases of gross irregularity of the heart was accomplished . . . long before we knew this discovery to be due to fibrillation. And the discovery that it is due to auricular fibrillation has been responsible for little or no change in the treatment of the disease by digitalis or by quinidine.” Source Undetermined
  • 30. •  “The information that is obtained from a man handling the patient is entirely lost in taking electrocardiograms. Taking a tracing of a pulse, radial or jugular, calls attention to features which the naked eye can recognize. If medicine is to make any progress at all, the symptoms of disease must be detected by the unaided senses.” Source Undetermined
  • 31. •  “The chief weapons of the practitioner are to-day and will remain his own unaided senses . . . Believe me, you will never see the day when the medical practitioner will rightly interpret delicate records of the hart beat, but you will see the day when he will know the chief things which these records have taught us and how he may utilize that knowledge in his daily work.” Source Undetermined
  • 32. Histories of The Chicago Literary Club
  • 43. More tracings Source Undetermined
  • 48. Images of Diego Rivera mural ”The History of Cardiology, Panel 1 1943-1944 Fresco 6 x 4.05 m Tlalpan, Ibero American University Auditorium, Mexico City” removed
  • 52. Additional Source Information for more information see: http://open.umich.edu/wiki/CitationPolicy Slide 4: Luigi Galvani, ECGpedia, http://en.ecgpedia.org/wiki/File:Waller.jpg Slide 5: Luigi Galvani Slide 6: Luigi Galvani Slide 7: A.D. Waller, ECGpedia, http://en.ecgpedia.org/wiki/File:Waller.jpg Slide 8: A.D. Waller Slide 9: A.D. Waller, Images in Paediatric Cardiology, http://www.sahha.gov.mt/pages.aspx?page=665 Slide 10: Lippmann electrometer, Wikimedia Commons, http://commons.wikimedia.org/wiki/File:Kapillarelektrometer.jpg Slide 11: Source Undetermined Slide 12: Source Undetermined Slide 13: Source Undetermined Slide 14: Source Undetermined Slide 15: Willem Einthoven. Arch. Internat. Physiol. 4:132, 1906 Slide 16: Willem Einthoven Slide 17: Willem Einthoven Slide 18: Willem Einthoven Slide 19: Source Undetermined Slide 20: Bramwell B. (1884) Diseases of the Heart. Young J. Pentland, Edinburgh Slide 21: Source Undetermined Slide 22: Source Undetermined Slide 23: Source Undetermined Slide 24: Source Undetermined Slide 25: Source Undetermined Slide 26: Lews. Mechanism and Graphic Registration of the Heart Beat. Shaw & Sons, 1920 Slide 27: Sources Undetermined Slide 32: Histories of The Chicago Literary Club, http://www.chilit.org/Histories/Herrick%20photo.jpg Slide 33: Source Undetermined Slide 34: Source Undetermined Slide 35: Source Undetermined Slide 36: Source Undetermined Slide 37: Source Undetermined Slide 38: Source Undetermined Slide 39: Source Undetermined Slide 40: Source Undetermined
  • 53. Slide 41: Source Undetermined Slide 42: Source Undetermined Slide 43: Source Undetermined Slide 44: Source Undetermined Slide 45: Source Undetermined Slide 46: Willem Einthoven Slide 47: Source Undetermined Slide 49: Source Undetermined Slide 50: Source Undetermined Slide 51: Source Undetermined