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心肌桥:对病理生理学的当代理解及其对诊断和治疗策略的影响

Myocardial bridging: contemporary understanding of pathophysiology with implications for diagnostic and therapeutic strategies.

作者信息

Corban Michel T, Hung Olivia Y, Eshtehardi Parham, Rasoul-Arzrumly Emad, McDaniel Michael, Mekonnen Girum, Timmins Lucas H, Lutz Jerre, Guyton Robert A, Samady Habib

机构信息

Andreas Gruentzig Cardiovascular Center, Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, GA.

Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA.

出版信息

J Am Coll Cardiol. 2014 Jun 10;63(22):2346-2355. doi: 10.1016/j.jacc.2014.01.049. Epub 2014 Feb 26.

DOI:10.1016/j.jacc.2014.01.049
PMID:24583304
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4065198/
Abstract

Patients with myocardial bridging are often asymptomatic, but this anomaly may be associated with exertional angina, acute coronary syndromes, cardiac arrhythmias, syncope, or even sudden cardiac death. This review presents our understanding of the pathophysiology of myocardial bridging and describes prevailing diagnostic modalities and therapeutic options for this challenging clinical entity.

摘要

心肌桥患者通常无症状,但这种异常可能与劳力性心绞痛、急性冠状动脉综合征、心律失常、晕厥甚至心源性猝死有关。本综述阐述了我们对心肌桥病理生理学的理解,并描述了针对这一具有挑战性的临床实体的主流诊断方法和治疗选择。

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本文引用的文献

1
Five-year angiographic and clinical follow-up of patients with drug-eluting stent implantation for symptomatic myocardial bridging in absence of coronary atherosclerotic disease.药物洗脱支架植入治疗无冠状动脉粥样硬化疾病的有症状心肌桥患者的五年血管造影和临床随访
J Invasive Cardiol. 2013 Nov;25(11):586-92.
2
Results of coronary artery bypass grafting in myocardial bridging of left anterior descending artery.左前降支心肌桥患者冠状动脉搭桥术的结果
J Card Surg. 2013 May;28(3):218-21. doi: 10.1111/jocs.12101. Epub 2013 Apr 10.
3
Is coronary artery bypass grafting an acceptable alternative to myotomy for the treatment of myocardial bridging?冠状动脉搭桥术是否是治疗心肌桥的肌切开术的可接受替代方案?
Interact Cardiovasc Thorac Surg. 2013 Mar;16(3):347-9. doi: 10.1093/icvts/ivs459. Epub 2012 Nov 21.
4
Coronary artery bypass grafting for myocardial bridges of the left anterior descending artery.左前降支心肌桥的冠状动脉搭桥术。
J Card Surg. 2012 Jul;27(4):405-7. doi: 10.1111/j.1540-8191.2012.01457.x. Epub 2012 May 20.
5
Relationship between myocardial bridges and reduced coronary atherosclerosis in patients with angina pectoris.心肌桥与心绞痛患者冠状动脉粥样硬化程度降低的关系。
Int J Cardiol. 2013 Aug 10;167(3):883-8. doi: 10.1016/j.ijcard.2012.01.091. Epub 2012 Mar 3.
6
SPECT perfusion imaging and myocardial bridges: bridging the gap of diagnostic uncertainty.单光子发射计算机断层扫描灌注成像与心肌桥:弥合诊断不确定性的差距
J Nucl Cardiol. 2011 Dec;18(6):1000-2. doi: 10.1007/s12350-011-9443-3.
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Myocardial perfusion GSPECT imaging in patients with myocardial bridging.心肌桥患者的心肌灌注 GSPECT 成像。
J Nucl Cardiol. 2011 Dec;18(6):1059-65. doi: 10.1007/s12350-011-9406-8. Epub 2011 Aug 6.
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Coronary artery wall shear stress is associated with progression and transformation of atherosclerotic plaque and arterial remodeling in patients with coronary artery disease.冠状动脉壁切应力与冠状动脉疾病患者粥样斑块的进展和转化以及动脉重构有关。
Circulation. 2011 Aug 16;124(7):779-88. doi: 10.1161/CIRCULATIONAHA.111.021824. Epub 2011 Jul 25.
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Severe coronary tortuosity or myocardial bridging in patients with chest pain, normal coronary arteries, and reversible myocardial perfusion defects.胸痛、正常冠状动脉且存在可逆性心肌灌注缺损患者中的严重冠状动脉迂曲或心肌桥。
Am J Cardiol. 2011 Oct 1;108(7):973-8. doi: 10.1016/j.amjcard.2011.05.030. Epub 2011 Jul 23.
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Current concepts of integrated coronary physiology in the catheterization laboratory.当前导管实验室中综合冠状动脉生理学的概念。
J Am Coll Cardiol. 2010 Jan 19;55(3):173-85. doi: 10.1016/j.jacc.2009.06.062.