心脏磁图与无创心脏检查在胸痛患者评估中的比较

IF 1.3 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Sharon E. Mace , Christopher Baugh , Margarita E. Pena , Robert Takla
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引用次数: 0

摘要

目的胸痛是门诊和急诊科患者的常见主诉。这些患者通常接受无创心脏成像(NCI)。NCI的问题包括有限的可用性,长时间的测试延迟,测试持续时间,辐射暴露,不良事件,NPO(持有药物,咖啡因/食物/液体/烟草),运动要求,某些人群的局限性,无法评估无阻塞性冠状动脉疾病(INOCA)的缺血,需要造影剂/药物/针头静脉注射(IV)线。心脏磁图(MCG)的优点包括更快,更容易给药,避免辐射,更少的资源利用,更安全,不需要针头/静脉注射,不需要咖啡因/食物/液体/烟草的NPO,不需要持有药物。通过避免药物和/或运动,MCG避免了引发心肌损伤和危险事件(心律失常)的风险。MCG不需要造影剂或药物,消除了副作用/并发症:外渗组织坏死,造影剂引起的肾病,过敏反应包括危及生命的过敏反应。设计mcg与NCI比较:运动应激试验、应激回声、多巴酚丁胺应激超声心动图、心肌灌注成像:单光子发射计算机断层扫描(SPECT)或正电子发射断层扫描(PET)、心脏磁共振成像(cMRI)、冠状动脉计算机断层扫描血管造影(CCTA)。文献综述:NCI与MCG。结论mcg是一种快速、安全、有效、无痛、无辐射的检测方法,不需要给药。MCG通过避免刺激性药物和/或运动消除了引发心肌损伤和引起心律失常等危险事件的风险。MCG避免了检测延迟,患者满意度较高,无NPO要求,不含药物或咖啡因/食物/液体/烟草,具有相似的敏感性和特异性。需要进一步的临床研究来验证其效用。MCG可能是当前NCI的补充模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A comparison of magnetocardiography with noninvasive cardiac testing in the evaluation of patients with chest pain

Objectives

Chest pain is a common complaint of outpatients and emergency department patients. These patients are often referred for noninvasive cardiac imaging (NCI). Problems with NCI include limited availability, lengthy test delays, test duration, radiation exposure, adverse events, NPO (holding medications, caffeine/food/liquids/tobacco), exercise requirement, limitations for certain populations, inability to assess for ischemia with no obstructive coronary artery disease (INOCA), contrast/medication/needlestick-intravenous (IV) line needed.
Magnetocardiography (MCG) advantages include faster, easier test administration, radiation avoidance, less resource utilization, safer, no needlestick/IV requirement, no NPO for caffeine/food/liquids/tobacco, and no holding medications. By avoiding medications and/or exercise, MCG avoids risk of provoking myocardial injury and dangerous events (arrhythmias). No contrast or pharmacologic agents are needed with MCG, eliminating side effects/complications: tissue necrosis from extravasation, contrast-induced nephropathy, allergic reactions including life threatening anaphylaxis.

Design

MCG comparison with NCI: exercise stress test, stress echo, dobutamine stress echocardiogram, myocardial perfusion imaging: single photon emission computed tomography (SPECT) or positron emission tomography (PET), cardiac magnetic resonance imaging (cMRI), coronary computed tomography angiography (CCTA).

Outcome measures

Literature review: NCI versus MCG.

Conclusion

MCG is a rapid, safe, effective, painless and radiation-free test, does not require contrast/medication administration. MCG by avoiding provocative medications and/or exercise eliminates the risk of provoking myocardial injury and causing dangerous events such as arrhythmias. MCG avoids testing delays, has higher patient satisfaction, no NPO requirement, no holding medications or caffeine/food/liquids/tobacco, with similar sensitivity and specificity. Additional clinical research is needed to validate its utility. MCG may be a complementary modality alongside current NCI.
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CiteScore
1.60
自引率
0.00%
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