Effect of Inhomogeneities on the Apparent Location and Magnitude of a Cardiac Current Dipole Source

A mathematical model was used to investigate the effects of electrical inhomogeneities introduced by the intracavitary blood mass and the lungs on the apparent location and magnitude of a current dipole source representing local activity in the myocardium. Radial and tangential current source moments were considered, and lung conductivity was taken as a variable parameter. Both the blood mass and the lungs cause a current source to appear closer to the heart center than it actually is. The effect increases as the source moves away from the endocardial surface, and maximum displacement is estimated to be of the order of 1 cm. The net effect of the inhomogeneities is to increase the magnitude of the radial component of a source dipole while diminishing its tangential component. These effects depend on source location.