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.
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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