Quantification of the normal Frank and McFee Parungao orthogonal electrocardiogram at ages 2 to 10 yr

Abstract

A quantification of the Frank and McFee Parungao orthogonal electrocardiogram of 175 normal children, ages 2-10 years is presented. There are significant differences in age groups 2-5 and 6-10. The QRS voltages of the younger group demonstrate 1) greater Z anterior, 2) greater initial X right, 3) greater terminal X right, 4) smaller Y inferior, and 5) the T vector is oriented more posteriorly. There are significant differences between the two lead systems. 1) Frank spatial voltages are 70% of those of McFee. 2) Frank X left is 70% of McFee, but terminal X right is 75% and initial X right is 60% of McFee. 3) Frank Y inferior is 78% of McFee, but initial Y superior is 83% and terminal Y superior 61% of McFee. 4) Frank Z anterior is 64% and Frank Z posterior is 70% of McFee. 5) In terms of ratios the Frank is relatively less inferior, about equally posterior and more terminally right. 6) The T vector is more posterior in Frank than McFee.