Case Report:Optical Pumped Magnetometer Magnetocardiography as a Potential Method of Therapy Monitoring in Fulminant Myocarditis  

作　　者：Shuwen Yang Kun Yang Lijun Zhang Yanlong Ren Linqi Liu Huan Zhang Lanxin Feng Zhao Ma Shu Zhou Yi He Chenchen Tu Xiantao Song Hongjia Zhang 

机构地区：[1]Department of Cardiology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China [2]Center for Cardiac Intensive Care,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China [3]Department of Radiology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China [4]Department of Cardiac Surgery,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China

出　　处：《Cardiovascular Innovations and Applications》2024年第1期564-571,共8页心血管创新与应用(英文)

基　　金：supported by Sponsored by Beijing Nova Program(20220484222);‘Deng Feng’Training Program(DFL20220603);Project of The Beijing Lab for Cardiovascular Precision Medicine(PXM2018_014226_000013).

摘　　要：Background:Fulminant myocarditis(FM)is associated with high mortality and an unfavorable long-term prognosis.However,noninvasive,rapid diagnostic and monitoring methods for FM are lacking.Case summary:This report details the case of a patient diagnosed with FM through a comprehensive assessment involving typical clinical symptoms,laboratory analyses,echocardiographic evidence,and cardiac magnetic resonance(CMR)findings.Before the patient underwent CMR,optical pumped magnetometer magnetocardiography(OPM-MCG)revealed abnormalities characteristic of substantial myocardial injury.After invasive coronary angiography,the patient’s coronary arteries were determined not to exhibit significant stenosis.Additionally,a myocardial bridge was observed in the middle segment of the anterior descending branch of the left coronary artery.Over a 7-month follow-up,the patient’s symptoms showed marked improvement,and the OPM-MCG eventually normalized,aligning with the findings indicated by the CMR.Conclusion:OPM-MCG is a valuable tool for therapy monitoring in FMs,offering a safe,non-invasive,and highly effective test for ancillary diagnostics and long-term prognostic follow-up.Additionally,MCG may potentially assist in clinical decision-making regarding the need for further interventions in patients with myocardial bridge.

关 键 词：Fulminant myocarditis MAGNETOCARDIOGRAPHY Myocardial ischemia Myocardial bridge 

分 类 号：R54[医药卫生—心血管疾病]