Magnetocardiography in diagnosis of MINOCA: a case series - Report - MDSpire

Magnetocardiography in diagnosis of MINOCA: a case series

  • By

  • Xiaoyan Xue

  • Jiandong Zhang

  • Yuheng Zhou

  • Yihao Zhu

  • Jiaqi Liang

  • Kangqi Tian

  • Dong Xu

  • Yuguo Chen

  • Xu Zhang

  • Min Xiang

  • July 15, 2026

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Clinical Report: Magnetocardiography as a Diagnostic Tool for MINOCA

Overview

This case series evaluates the use of magnetocardiography (MCG) in diagnosing myocardial infarction with non-obstructive coronary arteries (MINOCA) in two patients. Despite normal ECG findings, MCG identified infarction-related waveform features.

Background

Myocardial infarction with non-obstructive coronary arteries (MINOCA) presents a diagnostic challenge, with a significant proportion of cases remaining inconclusive. Current diagnostic approaches often fail to identify the underlying causes.

Data Highlights

No numerical data or trial data were provided in the source material.

Key Findings

  • MCG can detect myocardial ischemia in patients with MINOCA, even when ECG findings are normal.
  • Both patients in the case series had elevated myocardial enzymes.
  • Cardiac catheterization confirmed no coronary artery stenosis in both cases.
  • MCG waveforms exhibited infarction-related features despite the absence of ECG-detectable infarction.
  • Cardiac magnetic resonance (CMR) further validated the diagnostic accuracy of MCG in the second case.

Clinical Implications

MCG may serve as a diagnostic tool for MINOCA in cases where traditional methods yield inconclusive results.

Conclusion

The findings from this case series indicate that MCG may be a tool in diagnosing MINOCA.

Related Resources & Content

  1. Frontiers in Cardiovascular Medicine, 2026 -- Magnetocardiography in the diagnosis of suspected ANOCA: a case series
  2. Basic Research in Cardiology, 2026 -- Molecular mechanisms of coronary microembolization-induced MINOCA
  3. European Radiology, 2023 -- Efficacy of a Brief Non-Contrast Cardiac Magnetic Resonance Imaging Protocol in MINOCA Cases
  4. Clinical Research in Cardiology, 2023 -- Coronary Microvascular Dysfunction Characterizes All Variants of MINOCA
  5. ESC Guidelines, 2023 -- Essential Messages for Acute Coronary Syndromes
  6. Feasibility and Yield of a Diagnostic Protocol for Myocardial Infarction with Non-Obstructive Coronary Arteries - PubMed
  7. Meta-analysis of magnetocardiography in diagnosing coronary artery disease and myocardial ischemia - ScienceDirect
  8. https://www.escardio.org/static-file/Escardio/Guidelines/Products/Slide%20sets/2023%20Gls/Essential%20Messages_2023%20ACS.pdf
  9. Feasibility and Yield of a Diagnostic Protocol for Myocardial Infarction with Non-Obstructive Coronary Arteries - PubMed
  10. Meta-analysis of magnetocardiography in diagnosing coronary artery disease and myocardial ischemia - ScienceDirect

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