BACKGROUND: Vectorcardiographic 3D QRS voltage-time integral (VTI METHODS: We retrospectively analyzed 12-lead ECGs of healthy adults (2010-2014) and compared them to patients with cardiomyopathy with reduced ejection fraction (EF) <
50%. Using the Kors matrix, 12-lead ECGs with QRS duration ≤120 ms were converted to vectorcardiographic X, Y, and Z leads. VTI RESULTS: The study included 468 healthy adults (age 44.6 ± 17.0 years
63.9% female) and 314 patients with cardiomyopathy (age 62.1 ± 14.0 years
34.4% female). VTI CONCLUSION: VTI