Heart failure & cardiomyopathies

Magnetocardiography for the Non-Invasive Diagnosis of Myocardial Inflammation in Cardiac Amyloidosis: A Proof-of-Concept Study

ESC Heart FailPublished Diagnostic accuracy study

Authors' conclusion

This proof-of-concept study provides initial evidence for the potential of MCG as a non-invasive method to identify myocardial inflammation in patients with cardiac amyloidosis.

Study context

Population
Patients with cardiac amyloidosis who had undergone magnetocardiography (MCG) and endomyocardial biopsy
Participants
27 patients
Comparison
MCG vs endomyocardial biopsy for myocardial inflammation
  • Myocardial inflammationn = 10
Outcome
Diagnostic value of MCG for myocardial inflammation (biopsy reference)
Methodological detailsretrospective, proof-of-concept
  • Retrospective
  • Proof-of-concept

Performance

As reported in the abstract

Diagnosis of myocardial inflammation by VMCG

Myocardial inflammation

0.093

IQR 0.058–0.183

No myocardial inflammation

0.052

IQR 0.039–0.073

P = 0.01

AUC of VMCG
0.785 (95% CI 0.600-0.970; P < 0.01)
Optimal cut-off (Youden's index)
VMCG ≥0.078
Sensitivity
60.0%
Specificity
88.2%
PPV
75.0%
NPV
78.9%

Original publication

Magnetocardiography for the Non-Invasive Diagnosis of Myocardial Inflammation in Cardiac Amyloidosis: A Proof-of-Concept Study. ESC Heart Fail. Published 21 July 2025. doi:10.1002/ehf2.15377

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