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Published on: June 11, 2019
Diagnostic outcomes of magnetocardiography in patients with coronary artery disease
Yingmei Li1, Zaiqian Che2, Weiwei Quan3
1Department of Geratology, Putuo Hospital, Shanghai University of Traditional Chinese Medicine Shanghai 200062, China.
Insights
Magnetocardiography (MCG) shows superior diagnostic outcomes for coronary artery disease (CAD) compared to ECG and echocardiography. This advanced analysis detects ischemic changes, aiding early CAD diagnosis.
Area of Science:
- Cardiology
- Biomedical Engineering
- Diagnostic Imaging
Background:
- Coronary artery disease (CAD) diagnosis relies on various imaging modalities.
- Magnetocardiography (MCG) offers a non-invasive method to assess cardiac electrical activity.
Purpose of the Study:
- To evaluate the diagnostic performance of MCG in patients with CAD.
- To compare MCG's effectiveness against standard electrocardiography (ECG) and echocardiography.
Main Methods:
- MCG was performed on 101 CAD patients and 116 healthy volunteers using a seven-channel system.
- Quantitative indicators analyzed included R-max/T-max ratio, R value, and á average angle.
- CAD was defined as stenosis ≥ 70% in at least one vessel.
Main Results:
- MCG revealed significantly higher R-max/T-max ratios, R values, and á average angles in CAD patients compared to healthy controls (P < 0.001).
- Abnormal MCG mapping patterns were observed in 74.26% of CAD patients.
- MCG demonstrated significantly higher diagnostic accuracy (P < 0.001) than ECG (48.51%) and echocardiography (45.54%).
Conclusions:
- Resting MCG with advanced data analysis exhibits superior diagnostic outcomes for CAD.
- MCG effectively detects ST-segment displacement indicative of myocardial ischemia.
- MCG is a valuable tool for the early diagnosis of coronary artery disease.
Objective:
To evaluate the diagnostic outcomes of magnetocardiography (MCG) on the patients with coronary artery disease and compared the outcomes between MCG, ECG and Echocardiography.
Methods:
MCG measurements were performed on 101 patients with coronary artery disease and 116 healthy volunteers with a seven-channel magnetocardiographic system (MCG7, SQUID AG, Germany) installed in an unshielded room. CAD was diagnosed when stenosis ≥ 70% in ≥ 1 vessel. Three quantitative indicators were analyzed, R-max/T-max ratio, R value and á average angle.
Results:
R-max/T-max ratio of CAD group (6.30 ± 4.07) was much higher than that of healthy group (3.73 ± 1.41) (P < 0.001), R value of CAD group (69.16 ± 27.87)% was significantly higher than that of healthy group (34.96 ± 19.09)% (P < 0.001), á average angle of CAD group (221.46° ± 64.53°) was higher than that of healthy group (24.32° ± 20.70°) (P < 0.01). In 75 of 101 CAD patients (74.26%), MCG had abnormal mapping patterns. The resting ECG examination showed ischemic changes, such as abnormal Q waves and ST-T change in 49 patients (48.51%). Echocardiography revealed abnormal left ventricular wall motion and asynergy in 46 patients (45.54%). Thus, the diagnostic outcomes of MCG for the patients with CAD were much significant than those of ECG and echocardiography (P < 0.001).
Conclusions:
Our result showed that resting MCG under condition of an advanced data analysis has higher diagnostic outcomes and is superior to ECG or echocardiography for patients with CAD. MCG can detect ST-segment displacement caused by ischemic myocardium, thus helpful in diagnosing coronary artery disease early.
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