Effects of the torso boundary and internal conductivity interfaces in electrocardiography: An evaluation of the 'Infinite medium' approximation

The analytic, eccentric spheres model of the torso was used to examine the validity of approximating the 'infinite medium' potential by integrating 'finite medium potentials' over the torso surface. Although idealized, the analytic model is sophisticated enough for all important torso conductivity and geometry parameters to be preserved in the formulation. The model generates both 'finite medium' potentials (for which the torso is surrounded by air) and also 'infinite medium' potentials (for which the outermost layer of the torso extends outward to infinity). The finite medium torso potentials were integrated over the torso surface in accordance with the approximation used by many investigators in an effort to make the surface distribution more representative of the primary cardiac sources. The resulting potential distribution was compared with the true infinite medium potential, in which the effects of internal inhomogeneities (secondary sources) were taken into account. The difference between the two representations was found to be significant, and caution should be used when interpreting such data.