التفاصيل البيبلوغرافية
| العنوان: |
CR60 Myocardial Bridging: A cause for concern? |
| المؤلفون: |
Boban, Marin, Kovač, Antun Zvonimir, Jukić, Mladen, Medaković, Petar |
| المصدر: |
Lijecnicki Vjesnik; 2023 Supplement, Vol. 145, p76-76, 1/2p |
| مصطلحات موضوعية: |
BREATH holding, ACUTE coronary syndrome, MYOCARDIUM, FAMILY history (Medicine), CORONARY angiography, CORONARY arteries |
| مستخلص: |
INTRODUCTION/OBJECTIVES: Myocardial bridging(MB) is a condition where a segment of a coronary artery, which normally runs on the surface of the heart muscle, instead dives into the heart muscle and then re-emerges to continue its normal path. In MB, a segment of the coronary artery dives into the heart muscle during systole and re-emerges during diastole. This can lead to compression of the artery, reducing blood flow to the heart muscle during systole and causing symptoms such as chest pain or shortness of breath. CASE PRESENTATION: The patient has been treating arterial hypertension for the past year and has recently been taking statin therapy, and a few days before coming to our clinic, he was treated in a hospital for anginal complaints that lasted for 20 minutes. Acute coronary syndrome was ruled out, ergometry was normal, ultrasound of the heart showed normal findings, Objectively, when he arrived at the clinic, he had no complaints, but he noticed shortness of breath during exertion. Does not smoke, occasionally consumes alcohol, positive family history of cardiovascular diseases. Considering the clinical signs and risk factors, indication for MSCT coronary angiography was made. There were no evident atherosclerotic plaques and/or narrowing on the coronary arteries, but a significant myocardial bridging was observed on the middle segment of the LAD at a distance of 25 mm. CONCLUSION: MB is a relatively common condition, occurring in about 5-10% of the population. It can be diagnosed through tests such as coronary angiography, CT angiography, or cardiac MRI. In most cases, myocardial bridging is asymptomatic and does not require treatment. However, in cases where it causes symptoms, treatment options may include medications to manage symptoms or in rare cases, surgery to bypass or remove the affected segment of the artery. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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