Cited by 18ECG Monitoring and AnalysisCardiac Imaging and DiagnosticsCardiac electrophysiology and arrhythmias

Usefulness of magnetocardiography to detect coronary artery disease and cardiac allograft vasculopathy

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Wu, Yen-Wen, Lee, Chii-Ming, Liu, Yen-Bin, Wang, Shoei-Shen, Huang, Hui-Chun, Tseng, Wei-Kung, Jui, Hsiang-Yiang, Wang, Shan-Ying +3 more·2013·Circulation Journal

Abstract

BACKGROUND: Electrophysiological information as well as anatomic information are important for the detection of coronary artery lesions. The aim of this study was to assess the efficacy of resting magnetocardiography (MCG) in stable coronary artery disease (CAD) and cardiac allograft vasculopathy (CAV). METHODS AND RESULTS: MCG and coronary angiography were performed within 1 month in 75 patients with suspected CAD and in 26 subjects after orthotopic heart transplantation (OHT). Plaque volumes were additionally measured on intravascular ultrasound in OHT recipients. The spatially distributed QT(c) interval maps were constructed with 64-channel MCG. A T-wave propagation map and QT(c) heterogeneity index including QT(c) dispersion and smoothness index of QT(c) (SI-QT(c)) were derived for ischemia detection and localization. CAD patients had higher QT(c) dispersion and SI-QT(c). Receiver operating characteristic curve analysis identified SI-QT(c) ≥9 ms, QT(c) dispersion ≥79 ms as the optimal cut-off for detecting CAD (diagnostic accuracy, 0.7953, 0.7819), better than T-wave propagation (0.6594, P<0.05). There was no significant difference of QT(c) dispersion between CAD and OHT subjects. In OHT recipients, QT(c) dispersion positively correlated with plaque volume, and SI-QT(c) progressively increased after transplantation. Using T-wave propagation mapping, regionally increased dispersion could be demonstrated in CAD patients, but increased dispersion was noted in fewer OHT recipients. CONCLUSIONS: MCG is clinically feasible as a non-invasive tool for diagnosis of CAD, and could be used as a surrogate marker of CAV.

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  • Parallel research efforts with shielded and unshielded MCG over the last three decades have provided evidence of well-defined fields of clinical application, such as emergency triage of chest pain, diagnosis of ischemic and non-ischemic cardiomyopathies, heart transplant rejection, non-invasive 3D EAI of arrhythmogenic substrates and mechanisms, fetal MCG, and prenatal diagnosis of arrhythmogenicリ

    “provided evidence of well-defined fields of clinical application, such as the emergency triage of patients with chest pain, the diagnosis of different kinds of ischemic and non-ischemic cardiomyopathies, the heart transplant rejection (80, 81), the non-invasive 3D EAI of arrhythmogenic substrates and mechanisms (82), fetal MCG, and in particular the prenatal diagnosis of arrhythmogenic risk and”

    From Clinical magnetocardiography: the unshielded bet—past, present, and future (2023) · cites this paper as [81]

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References 40 · Cited by 18

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Authors
Wu, Y.-W., Lee, C.-M., Liu, Y.-B., Wang, S.-S., Huang, H.-C., Tseng, W.-K., Jui, H.-Y., Wang, S.-Y., Horng, H.-E., Yang, H.-C., & Wu, C.-C.
Affiliations
  • Far Eastern Memorial Hospital (TW)
  • Department of Internal Medicine (Cardiology Division), National Taiwan University Hospital
  • National Taiwan University Hospital (TW)
  • E-Da Hospital (TW)
  • National Taiwan Normal University (TW)
  • National Taiwan University (TW)
Venue
Circulation Journal
Published
2013
Volume
77
Issue
7
Pages
1783-1790
ISSN
  • 1346-9843 (ISSN-L)
  • 1347-4820
OpenAlex
W2004693809
Cited by
18
References
40
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 2 · 2020: 1 · 2019: 1 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 2
FWCI
1.14
Type
journal article
Language
en
Open access
Locations
  • Circulation Journal (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Science Council
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Keywords
magnetocardiography, coronary artery disease, cardiac allograft vasculopathy, QTc dispersion, myocardial ischemia detection, heart transplantation, coronary plaque volume, non-invasive diagnosis
MeSH terms
Aged, Coronary Artery Disease, Coronary Vessels, Echocardiography, Female, Humans, Male, Middle Aged, Heart Transplantation, Magnetocardiography, Allografts

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