Her Ae-Young, Dischl Dominic, Kim Yong Hoon, Kim Sang-Wook, Shin Eun-Seok
Department of Internal Medicine, Division of Cardiology, Kangwon National University College of Medicine, Kangwon National University School of Medicine, Chuncheon, Republic of Korea.
Department of Cardiology, Deutsches Herzzentrum der Charité (DHZC), Angiology and Intensive Care Medicine, Berlin, Germany.
Front Cardiovasc Med. 2023 Jul 7;10:1242215. doi: 10.3389/fcvm.2023.1242215. eCollection 2023.
Ischemic heart disease (IHD) continues to be a significant global public health concern and ranks among the leading causes of mortality worldwide. However, the identification of myocardial ischemia in patients suspected of having coronary artery disease (CAD) remains a challenging issue. Functional or stress testing is widely recognized as the gold standard method for diagnosing myocardial ischemia, but it is hindered by low diagnostic accuracy and limitations such as radiation exposure. Magnetocardiography (MCG) is a non-contact, non-invasive method that records magnetic fields produced by the electrical activity of the heart. Unlike electrocardiography (EKG) and other functional or stress testing, MCG offers numerous advantages. It is highly sensitive and can detect early signs of myocardial ischemia that may be missed by other diagnostic tools. This review aims to provide an extensive overview of the available evidence that establishes the utility of MCG as a valuable diagnostic tool for identifying myocardial ischemia, accompanied by a discussion of potential future research directions in this domain.
缺血性心脏病(IHD)仍然是一个重大的全球公共卫生问题,在全球主要死因中名列前茅。然而,在疑似患有冠状动脉疾病(CAD)的患者中识别心肌缺血仍然是一个具有挑战性的问题。功能或负荷试验被广泛认为是诊断心肌缺血的金标准方法,但它受到诊断准确性低和辐射暴露等局限性的阻碍。心磁图(MCG)是一种非接触、非侵入性的方法,用于记录心脏电活动产生的磁场。与心电图(EKG)和其他功能或负荷试验不同,MCG具有许多优点。它高度敏感,可以检测到其他诊断工具可能遗漏的心肌缺血早期迹象。本综述旨在广泛概述现有证据,这些证据确立了MCG作为识别心肌缺血的有价值诊断工具的效用,并讨论该领域未来潜在的研究方向。