Leon Fernando, Salazar Hector, Moreira Wendel, Angelini Paolo
Department of Cardiology, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
Tex Heart Inst J. 2006;33(3):380-2.
We report the case of a 59-year-old trained runner, who sustained an acute myocardial infarction, with residual effort angina, following extreme exertion while experiencing severe anxiety. Coronary angiography revealed that this patient had a myocardial bridge at the mid-left anterior descending artery, and an occlusive clot had developed at the proximal end of the muscular bridge. We discuss the possible relationships between the various circumstances of this sudden event. We argue that, under exceptional conditions, myocardial bridges can lead to myocardial infarction by clot formation.
我们报告了一例59岁的训练有素的跑步者病例，该患者在经历严重焦虑时剧烈运动后发生急性心肌梗死，并伴有残余劳力性心绞痛。冠状动脉造影显示，该患者左前降支中段有心肌桥，肌桥近端形成了闭塞性血栓。我们讨论了这一突发事件各种情况之间的可能关系。我们认为，在特殊情况下，心肌桥可通过血栓形成导致心肌梗死。
