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前降支心肌桥合并房室折返性室上性心动过速致心肌梗死

Myocardial Infarction by a Myocardial Bridge in the LAD Combined With Atrioventricular Re-Entrant Supraventricular Tachycardia.

作者信息

Hermes-Laufer Julia, Niederseer David, Karolyi Mihaly, Gotschy Alexander, Templin Christian

机构信息

Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland.

Department of Cardiology, Hôpital de La Tour, Geneva, Switzerland.

出版信息

JACC Case Rep. 2022 Sep 7;4(17):1115-1118. doi: 10.1016/j.jaccas.2022.06.022.

DOI:10.1016/j.jaccas.2022.06.022
PMID:36124157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9481890/
Abstract

We present the case of a patient who presented with palpitations and was found to have atrioventricular re-entrant tachycardia with unusually elevated cardiac biomarkers. A coronary computed tomographic angiography showed a myocardial left anterior descending artery bridge; an accessory pathway was ablated, and cardiac magnetic resonance revealed anteroseptal myocardial infarction resulting from hypoperfusion during tachycardia caused by the left anterior descending artery myocardial bridge. ().

摘要

我们报告了一例患者，该患者因心悸就诊，被发现患有房室折返性心动过速且心脏生物标志物异常升高。冠状动脉计算机断层血管造影显示左前降支心肌桥；一条旁路途径被消融，心脏磁共振显示由左前降支心肌桥导致的心动过速期间低灌注引起的前间隔心肌梗死。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d2/9481890/dc673ad12b3d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d2/9481890/ce8118730696/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d2/9481890/dc673ad12b3d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d2/9481890/ce8118730696/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d2/9481890/dc673ad12b3d/gr1.jpg

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本文引用的文献

1
Relation between severity of myocardial bridge and vasospasm.心肌桥严重程度与血管痉挛之间的关系。
Int J Cardiol. 2017 Dec 1;248:34-38. doi: 10.1016/j.ijcard.2017.07.002. Epub 2017 Jul 5.
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Myocardial Bridging: An Up-to-Date Review.心肌桥：最新综述
J Invasive Cardiol. 2015 Nov;27(11):521-8. Epub 2015 May 15.
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Myocardial bridging: contemporary understanding of pathophysiology with implications for diagnostic and therapeutic strategies.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
J Am Coll Cardiol. 2014 Jun 10;63(22):2346-2355. doi: 10.1016/j.jacc.2014.01.049. Epub 2014 Feb 26.
4
LAD coronary artery myocardial bridging and apical ballooning syndrome.左回旋支冠状动脉心肌桥和心尖球囊综合征。
JACC Cardiovasc Imaging. 2013 Jan;6(1):32-41. doi: 10.1016/j.jcmg.2012.08.013.
5
Myocardial bridging and milking effect of the left anterior descending coronary artery: normal variant or obstruction?左前降支冠状动脉的心肌桥及挤奶效应：正常变异还是梗阻？
Am J Cardiol. 1976 Jun;37(7):993-9. doi: 10.1016/0002-9149(76)90414-8.