physicians Arthur MacNalty, M.D. Oxon, and Thomas Lewis teamed to become the first of their profession to apply electrocardiography in medical diagnosis. Mechanics Einthoven's galvanometer consisted of a silver-coated quartz filament of a few centimeters length (see picture on the right) and negligible mass that conducted the electrical currents from the heart. This filament was acted upon by powerful electromagnets positioned either side of it, which caused sideways displacement of the filament in proportion to the current carried due to the electromagnetic field. The movement in the filament was heavily magnified and projected through a thin slot onto a moving photographic plate. The filament was originally made by drawing out a filament of glass from a crucible of molten glass. To produce a sufficiently thin and long filament an arrow was shot across the room so that it dragged the filament from the molten glass. The filament so produced was then coated with silver to provide the conductive pathway for the current. By tightening or loosening the filament it is possible to very accurately regulate the sensitivity of the galvanometer. The original machine required water cooling for the powerful electromagnets, required 5 operators and weighed some 600 lb. Procedure Patients are seated with both arms and left leg in separate buckets of saline solution. These buckets act as electrodes to conduct the current from the skin's surface to the filament. The three points of electrode contact on these limbs produces what is known as Einthoven's triangle, a principle still used in modern-day ECG recording. References Cardiology Electrophysiology Galvanometers Medical tests Historical scientific instruments Dutch inventions