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负荷超声心动图模式:一种用于检测具有血流动力学相关性的心肌桥的有前景的非侵入性检查方法。

Stress echocardiography pattern: a promising noninvasive test for detection of myocardial bridging with haemodynamic relevance.

作者信息

Siciliano Mariachiara, Migliore Federico, Piovesana Piergiuseppe

机构信息

aDepartment of Cardiac, Thoracic, and Vascular Sciences, University of Padova bDivision of Cardiology, Camposampiero Hospital, Padova, Italy.

出版信息

J Cardiovasc Med (Hagerstown). 2016 Dec;17 Suppl 2:e208-e209. doi: 10.2459/JCM.0000000000000202.

DOI:10.2459/JCM.0000000000000202
PMID:25469733
Abstract

: We reported a case of a young athlete with an underlying myocardial bridging in the left anterior descending coronary artery (LAD) causing myocardial ischemia suspected by contrast exercise stress echocardiography and confirmed by computed tomography coronary angiography. Our report demonstrated that a specific stress echocardiography pattern consisting of reversible focal buckling in the end-systolic to early-diastolic motion of the septum may suggest the presence of an underlying myocardial bridging in the LAD.

摘要

我们报告了一例年轻运动员,其左前降支冠状动脉(LAD)存在潜在的心肌桥,通过对比运动负荷超声心动图怀疑有心肌缺血,并经计算机断层扫描冠状动脉造影证实。我们的报告表明,一种特定的负荷超声心动图模式,即室间隔在收缩末期到舒张早期运动中出现可逆性局灶性弯曲,可能提示LAD存在潜在的心肌桥。

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引用本文的文献

1
The Myocardial Bridge: Potential Influences on the Coronary Artery Vasculature.心肌桥:对冠状动脉血管系统的潜在影响
Clin Med Insights Cardiol. 2019 May 1;13:1179546819846493. doi: 10.1177/1179546819846493. eCollection 2019.
2
Myocardial bridging is associated with exercise-induced ventricular arrhythmia and increases in QT dispersion.心肌桥与运动诱发的室性心律失常及QT离散度增加有关。
Ann Noninvasive Electrocardiol. 2018 Mar;23(2):e12492. doi: 10.1111/anec.12492. Epub 2017 Sep 18.