Cutler D, Wallace J M
University of Texas Medical Branch at Galveston, Division of Cardiology, John Sealy Hospital, USA.
Clin Cardiol. 1997 Jun;20(6):581-3. doi: 10.1002/clc.4960200614.
Systolic compression of a coronary artery is considered to be a benign phenomenon, although numerous case reports have suggested an association between bridging and sudden death or ischemia in certain patients without other abnormalities on cardiovascular evaluation. We present the case of a young patient with two episodes of spontaneous ventricular fibrillation and electrocardiographic evidence of ischemia, whose only primary abnormality on extensive workup was a long segment of left anterior descending systolic compression. This case adds to the growing body of anecdotal evidence that myocardial bridging may be associated with significant cardiac events.
冠状动脉的收缩期压迫被认为是一种良性现象,尽管大量病例报告表明,在某些心血管评估无其他异常的患者中,心肌桥与猝死或缺血之间存在关联。我们报告一例年轻患者,有两次自发性心室颤动发作及心电图缺血证据,其全面检查中唯一的主要异常是左前降支长节段收缩期压迫。该病例增加了越来越多的轶事证据,表明心肌桥可能与重大心脏事件有关。