Einthoven triangle is a conceptual idea which comes in Bio medical Science. This concept is used for ECG interpretation as it makes an underline platform to determine resultant electrical axis of the heart. If you have a basic knowledge in ECG interpretation this short wordings would not be a matter of wasting time, i believe.

To have a nice explanation on axis determination in ECG have a look at below article.

http://ems12lead.com/tag/einthovens-triangle/

Though the article is about ECG interpretation, I won’t go through every aspects under this topic. There are lots of confusions has been built around interpreting the axis using Einthovens triangle as many a students have misinterpreted that this triangle is exactly an equilateral triangle as the name suggests. Even the triangle is called “Einthovens equilateral triangle”, the ‘equilateral’ is used to indicate the electrical equality which comes under Einthovens law (I + III = II).

One of the other misinterpretation (which i also came through) is interpreting the resultant electrical axis using the above triangle. Actually a fascinating feature of this triangle is that two leads’ electrode magnitudes are more than enough to get done the work under this topic. But the resultant won’t come as we think in basic physics. This is a point where the most of the confusion comes alive. Look at the example provided herewith to grasp the idea.

V1 = R*cos(a) and V2 = R*cos(b) if we have to determine the components of R along a and b angle apart as depicted above. Now how are you going to take the R from V1 and V2 ? You must be brave enough to understand the concept now. You won’t put Resultant equation to derive the R from V1 and V2. Why ? V1 and V2 are components of R itself and clearly a+b is not exactly 90 degrees (rather provided as such). To determine the R from V1 and V2 you should work backward.

Working backward would not be possible if we could not construct the picture in mind. (provided there are other methods as well). Only tricky part here is to determine the angles ‘a’ and ‘b’.

More precisely the Einthovens concept comes in to play under above conception. To determine the resultant electrical axis of the heart using Einthovens triangle is not just a calculation of resultant vector of lead vectors. One main thing that we have to keep in mind is that the Einthovens law is an scalar addition and not a vector addition. But in the calculation of the resultant electric axis the characteristics of vector should be considered. Therefore the above two calculations are deferred in their very nature.

Resultant of the Einthoven triangle is calculated as follows.

The resultant deflections are plotted on the Einthoven Triangle as vectors, appropriate units are used to represent the millimeter or millivolt height of each deflection. Each vector is drawn along the side of the triangle corresponding to the lead it represents. The vector is drawn from the centre of each side and toward the (+) pole or electrode. If Einthoven’s law is valid, perpendicular lines dropped from the point inside the triangle. A line drawn from this intersection to the centre of the triangle represents the electrical axis of the heart. The position of this axis is measured in degrees from the horizontal line drawn through the centre of the triangle (see below). The length of the axis vector is a measure of the overall electrical potential of the heart in the axis direction.

As depicted above the resultant electric axis of the heart can be found using the three Bi-polar limb electrodes. One last thing that should be noted here is as I suggested at the beginning of this article, for the determination of resultant only two BI-polar vectors are enough. And calculating the resultant axis using only two vectors can be used to derive the remaining lead vector from characteristics of vectors and hence can prove the law of Einthovens.

Hope things went fine. I am pleased to accept any views of you upon this article. Nice day!