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心肌桥作为心肌梗死的鉴别诊断:一例报告

Myocardial Bridging as a Differential Diagnosis for Myocardial Infarction: A Case Report.

作者信息

Gay Carter, Kihara Colby, Patel Arsh N, Oakley Katie, Stolzenberg Laurence, Schmidt Allen

机构信息

Medicine, Alabama College of Osteopathic Medicine, Dothan, USA.

Orthopedic Surgery, Alabama College of Osteopathic Medicine, Dothan, USA.

出版信息

Cureus. 2023 Apr 6;15(4):e37200. doi: 10.7759/cureus.37200. eCollection 2023 Apr.

DOI:10.7759/cureus.37200
PMID:37168214
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10166414/
Abstract

We present a case of a 55-year-old male who presented to the emergency department with complaints of acute onset of chest pain. As part of the workup, an electrocardiogram (ECG) revealed ST-segment elevation in leads V1-V5. Upon cardiac catheterization, myocardial bridging of the left anterior descending (LAD) artery was discovered without evidence of any obstructive coronary artery disease. The purpose of this report is to add to the existing literature that myocardial bridging, although traditionally thought to be a benign pathology, can also present risks for ischemia and infarction.

摘要

我们报告一例55岁男性患者,该患者因突发胸痛就诊于急诊科。作为检查的一部分,心电图(ECG)显示V1-V5导联ST段抬高。心脏导管检查发现左前降支(LAD)动脉心肌桥,未发现任何阻塞性冠状动脉疾病的证据。本报告的目的是补充现有文献,即心肌桥虽然传统上被认为是一种良性病变,但也可能存在缺血和梗死风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/402a/10166414/81ac526e4d7a/cureus-0015-00000037200-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/402a/10166414/14b5cf77d8cd/cureus-0015-00000037200-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/402a/10166414/81ac526e4d7a/cureus-0015-00000037200-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/402a/10166414/14b5cf77d8cd/cureus-0015-00000037200-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/402a/10166414/81ac526e4d7a/cureus-0015-00000037200-i02.jpg

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本文引用的文献

1
Myocardial Bridging: Diagnosis, Functional Assessment, and Management: JACC State-of-the-Art Review.心肌桥:诊断、功能评估与管理:美国心脏病学会最新临床综述。
J Am Coll Cardiol. 2021 Nov 30;78(22):2196-2212. doi: 10.1016/j.jacc.2021.09.859.
2
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.
3
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
The prevalence and anatomical patterns of intramuscular coronary arteries: a coronary computed tomography angiographic study.肌内冠状动脉的患病率及解剖模式:一项冠状动脉计算机断层扫描血管造影研究
J Am Coll Cardiol. 2007 Feb 6;49(5):587-93. doi: 10.1016/j.jacc.2006.09.039. Epub 2007 Jan 22.
5
Myocardial bridging.心肌桥
Eur Heart J. 2005 Jun;26(12):1159-68. doi: 10.1093/eurheartj/ehi203. Epub 2005 Mar 11.
6
Update on myocardial bridging.心肌桥的最新进展。
Circulation. 2002 Nov 12;106(20):2616-22. doi: 10.1161/01.cir.0000038420.14867.7a.