Rogers Ian S, Tremmel Jennifer A, Schnittger Ingela
Division of Cardiovascular Medicine, Stanford University, Stanford, California, USA.
Division of Pediatric Cardiology, Stanford University, Stanford, California, USA.
Congenit Heart Dis. 2017 Sep;12(5):619-623. doi: 10.1111/chd.12499. Epub 2017 Jul 3.
A myocardial bridge is a segment of a coronary artery that travels into the myocardium instead of the normal epicardial course. Although it is general perception that myocardial bridges are normal variants, patients with myocardial bridges can present with symptoms, such as exertional chest pain, that cannot be explained by a secondary etiology. Such patients may benefit from individualized medical/surgical therapy. This article describes the prevalence, clinical presentation, classification, evaluation, and management of children and adults with symptomatic myocardial bridges.
心肌桥是冠状动脉的一段走行于心肌内而非正常的心外膜路径。尽管普遍认为心肌桥是正常变异，但有心肌桥的患者可能出现诸如劳力性胸痛等无法用继发病因解释的症状。这类患者可能从个体化的药物/手术治疗中获益。本文描述了有症状心肌桥的儿童和成人患者的患病率、临床表现、分类、评估及管理。
