PMID- 22791298 OWN - NLM STAT- MEDLINE DCOM- 20130529 LR - 20151119 IS - 1532-2092 (Electronic) IS - 1099-5129 (Linking) VI - 14 IP - 12 DP - 2012 Dec TI - Comparison of cardiogoniometry and electrocardiography with perfusion cardiac magnetic resonance imaging and late gadolinium enhancement. PG - 1793-8 LID - 10.1093/europace/eus218 [doi] AB - AIMS: Cardiogoniometry (CGM) is a spatio-temporal five-lead resting electrocardiographic method utilizing automated analysis. The purpose of this study was to determine CGM's and electrocardiography (ECG)'s accuracy for detecting myocardial ischaemia and/or lesions in comparison with perfusion cardiac magnetic resonance imaging (CMRI) and late gadolinium enhancement (LGE). METHODS AND RESULTS: Forty (n= 40) patients with suspected or known stable coronary artery disease were examined by CGM and resting ECG directly prior to CMRI including adenosine stress perfusion (ASP) and LGE. The investigators visually reading the CMRI were blinded to the CGM and ECG results. Half of the patients (n= 20) had a normal CMRI while the other half presented with either abnormal ASP and/or detectable LGE. Cardiogoniometry yielded an accuracy of 83% (sensitivity 70%) and ECG of 63% (sensitivity 35%) compared with CMRI. CONCLUSIONS: In this pilot study CGM compares more favourably than ECG with the detection of ischaemia and/or structural myocardial lesions on CMRI. FAU - Birkemeyer, Ralf AU - Birkemeyer R AD - Department of Cardiology, Schwarzwald-Baar-Klinikum, Villingen-Schwenningen, Germany. rbirkemeyer@t-online.de FAU - Toelg, Ralph AU - Toelg R FAU - Zeymer, Uwe AU - Zeymer U FAU - Wessely, Rainer AU - Wessely R FAU - Jackle, Sebastian AU - Jackle S FAU - Hairedini, Bajram AU - Hairedini B FAU - Lubke, Mike AU - Lubke M FAU - Assfalg, Manfred AU - Assfalg M FAU - Jung, Werner AU - Jung W LA - eng PT - Comparative Study PT - Controlled Clinical Trial PT - Journal Article DEP - 20120711 PL - England TA - Europace JT - Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology JID - 100883649 RN - 0 (Contrast Media) RN - 0 (Heterocyclic Compounds) RN - 0 (Organometallic Compounds) RN - 0 (Vasodilator Agents) RN - 0199MV609F (gadoteridol) RN - AU0V1LM3JT (Gadolinium) RN - K72T3FS567 (Adenosine) SB - IM MH - Adenosine MH - Aged MH - Contrast Media MH - Coronary Artery Disease/complications/*diagnosis MH - Electrocardiography/*methods MH - Exercise Test MH - Female MH - Gadolinium MH - *Heterocyclic Compounds MH - Humans MH - Magnetic Resonance Angiography/*methods MH - Male MH - Middle Aged MH - Myocardial Ischemia/*diagnosis/etiology MH - Myocardial Perfusion Imaging/*methods MH - *Organometallic Compounds MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Vasodilator Agents EDAT- 2012/07/14 06:00 MHDA- 2013/05/31 06:00 CRDT- 2012/07/14 06:00 PHST- 2012/07/14 06:00 [entrez] PHST- 2012/07/14 06:00 [pubmed] PHST- 2013/05/31 06:00 [medline] AID - eus218 [pii] AID - 10.1093/europace/eus218 [doi] PST - ppublish SO - Europace. 2012 Dec;14(12):1793-8. doi: 10.1093/europace/eus218. Epub 2012 Jul 11.