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The magnitude of the spatial ventricular gradient (MSVG) is an attractive parameter in electrocardiogram (ECG) monitoring applications.The MSVG is most commonly obtained from 150 Hz low-pass filtered resting ECGs. However, monitoring applications typically utilize 40 Hz low-pass filtered ECG data. The extend to which the value of the MSVG is affected by the utilization of 40 Hz low-pass monitoring ECG filters over the commonly used 150 Hz low-pass resting ECG filters has not previously been reported.The aim of this research was to quantify the differences between MSVG values computed using 40 Hz low-pass filtered ECG data (MSVG40) and 150 Hz low-pass filtered ECG data (MSVG150). The differences between the MSVG40 and the MSVG150 were quantified as systematic error (mean difference) and random error (span of Bland-Altman 95% limits of agreement) using a study population of 726 subjects. The systematic error was found to be 0.013 mV ms [95% confidence interval: 0.008 mV ms to 0.018 mV ms]. The random error was quantified as 0.282 mV ms [95% confidence interval: 0.266 mV ms to 0.298 mV ms].Our findings suggest that it is possible to record accurate MSVG values using 40 Hz low-pass filtered ECG data.

The Effects of 40 Hz Low-Pass Filtering on the Magnitude of the Spatial Ventricular Gradient