Role of Magnetocardiography in Emergency Room

응급실에서 심자도의 역할

  • Kwon, H. (Biomagnetism Research Center, Korea Research Institute of Standards and Science) ;
  • Kim, K. (Biomagnetism Research Center, Korea Research Institute of Standards and Science) ;
  • Kim, J.M. (Biomagnetism Research Center, Korea Research Institute of Standards and Science) ;
  • Lee, Y.H. (Biomagnetism Research Center, Korea Research Institute of Standards and Science) ;
  • Kim, T.E. (Biomagnetism Research Center, Korea Research Institute of Standards and Science) ;
  • Lim, H.K. (Biomagnetism Research Center, Korea Research Institute of Standards and Science) ;
  • Park, Y.K. (Biomagnetism Research Center, Korea Research Institute of Standards and Science) ;
  • Ko, Y.G. (Cardiovascular Center, College of Medicine, Yonsei University) ;
  • Chung, N. (Cardiovascular Center, College of Medicine, Yonsei University)
  • Published : 2006.10.31

Abstract

In emergency rooms, patients with acute chest pain should be diagnosed as quickly as possible with higher diagnostic accuracy for an appropriate therapy to the patients with acute coronary syndrome or for avoiding unnecessary hospital admissions. At present, electrocardiography(ECG) and biochemical markers are generally used to detect myocardial infarction and coronary angiography is used as a gold standard to reveal the degree of narrowing of coronary artery. Magnetocardiography(MCG) has been proposed as a novel and non-invasive diagnostic tool fur the detection of cardiac electrical abnormality associated with myocardial ischemia. In this study, we examined whether the MCG can be used fur the detection of coronary artery disease(CAD) in patients, who were admitted to the emergency room with acute chest pain. MCG was recorded from 36 patients admitted to the emergency room with suspected acute coronary syndrome. The MCG recordings were obtained using a 64-channel SQUID MCG system in a magnetically shielded room. In result, presence of CAD could be found with a sensitivity of 88.2 % in patients with acute chest pain without 57 elevation in ECG, demonstrating a possible use in the emergency room to screen CAD patients.

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