Jukić M, Pavić L, Bitunjac I, Jukić T, Milošević M, Lovrić D, Lovrić Benčić M
Sunce Clinics, Trnjanska cesta 106, 10000 Zagreb, Croatia.
General Hospital "Dr. Josip Bencevic", Andrije Štampara 42, 35000 Slavonski Brod, Croatia.
Egypt Heart J. 2017 Dec;69(4):235-239. doi: 10.1016/j.ehj.2017.03.005. Epub 2017 Apr 12.
Myocardial bridging is congenital anomaly which usually has benign prognosis but there are also reports suggesting that it can be associated with ischemic clinical syndromes presenting with chest pain. Coronary computed tomography angiography is a well-established method for detecting myocardial bridging. However, clinical significance of this anomaly still remains unclear.
We studied 977 patients who presented with recurrent typical or atypical chest pain in outpatient clinic. All patients have undergone detailed clinical examination, ECG stress testing and coronary computed tomography angiography.
Highest positive prediction for having myocardial bridging was for patients presenting with atypical chest pain with negative ECG stress test and who were younger women.
Coronary computed tomography angiography may be preferable method for evaluation of chest pain in younger women presenting with atypical chest pain.
心肌桥是一种先天性异常，通常预后良好，但也有报告表明它可能与以胸痛为表现的缺血性临床综合征相关。冠状动脉计算机断层扫描血管造影术是检测心肌桥的成熟方法。然而，这种异常的临床意义仍不明确。
我们研究了977例在门诊表现为反复发作典型或非典型胸痛的患者。所有患者均接受了详细的临床检查、心电图负荷试验和冠状动脉计算机断层扫描血管造影术。
对于非典型胸痛、心电图负荷试验阴性的年轻女性患者，心肌桥的阳性预测率最高。
冠状动脉计算机断层扫描血管造影术可能是评估表现为非典型胸痛的年轻女性胸痛的首选方法。
