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Standard Template of Adult Magnetocardiogram

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Background: We need to know the magnetocardiogram (MCG) features regarding waveform and two-dimensional current distribution in normal subjects in order to classify the abnormal waveform in patients with heart disease. However, a standard MCG waveform has not been produced yet, therefore, we have first made the standard template MCG waveform.

Methods and Results: We used data from 464 normal control subjects' 64-channel MCGs (268 males, 196 females) to produce a template MCG waveform. The measured data were averaged after shortening or lengthening and normalization. The time interval and amplitude of the averaged data were adjusted to mean values obtained from a database. Furthermore, the current distributions (current arrow maps [CAMs]) were calculated from the produced templates to determine the current distribution pattern.

The produced template of the QRS complex had a typical shape in six regions that we defined (M1, M2, M3, M4, M5, and M6). In the P wave, the main current arrow in CAMs pointing in a lower-left direction appeared in M1. In the QRS complex, the typical wave appeared in each region, and there were two main current arrows in M2 and M5. There were negative T waves in M1, M4, and M5, and positive T waves in M3 and M6, and the main current arrow pointing in a lower-left direction appeared in M2.

Conclusion: Template MCG waveforms were produced. These morphologic features were classified into six regions, and the current distribution was characterized in each region. Consequently, the templates and classifications enable understanding MCG features and writing clinical reports.

Ann Noninvasive Electrocardiol 2008;13(4):391–400
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Keywords: current arrow; magnetocardiogram; standardization; template

Document Type: Research Article

Affiliations: 1: Advanced Research Laboratory, Hitachi, Ltd., Higashi-Koigakubo, Kokubunji, Tokyo, Japan 2: Hitachi General Hospital, Ibaraki, Japan 3: Hitachi High-Technologies Corporation, Ibaraki, Japan 4: National Cardiovascular Center, Osaka, Japan 5: Tsukuba University, Tsukuba, Ibaraki, Japan

Publication date: October 1, 2008

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