心肌桥作为一名年轻运动员血栓形成和心肌梗死的原因
Myocardial bridge as a cause of thrombus formation and myocardial infarction in a young athlete.
作者信息
Agirbasli M, Martin G S, Stout J B, Jennings H S, Lea J W, Dixon J H
机构信息
Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA.
出版信息
Clin Cardiol. 1997 Dec;20(12):1032-6. doi: 10.1002/clc.4960201213.
Abstract
We report here a young male athlete who had an acute myocardial infarction after strenuous exercise. Coronary angiography clearly demonstrated thrombus formation within a prominent myocardial bridge. Periarterial resection surgery was performed, which resulted in resolution of the angiographic "milking" effect of muscle bridge. Our observation, along with previous reports, suggests that myocardial bridges should be added to the list of known causes of sudden death or myocardial infarction in young persons after strenuous exercise. Thrombus formation within a myocardial bridge may be a potential mechanism whereby this anatomic curiosity may cause a tragic clinical event.
摘要
我们在此报告一名年轻男性运动员，其在剧烈运动后发生急性心肌梗死。冠状动脉造影清楚地显示在一个明显的心肌桥内形成了血栓。进行了动脉周围切除术，这使得肌肉桥的血管造影“挤奶”效应得以消除。我们的观察结果以及之前的报告表明，心肌桥应被列入年轻人剧烈运动后猝死或心肌梗死已知病因的清单中。心肌桥内血栓形成可能是这种解剖学异常情况导致悲惨临床事件的一种潜在机制。
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本文引用的文献
1
The mural coronary.
Am Heart J. 1951 Mar;41(3):359-68. doi: 10.1016/0002-8703(51)90036-1.
2
Arteriosclerosis in the intramural and extramural portions of coronary arteries in the human heart.人类心脏冠状动脉壁内和壁外部分的动脉硬化。
Circulation. 1956 Feb;13(2):235-41. doi: 10.1161/01.cir.13.2.235.
3
Functional, angiographic and intracoronary Doppler flow characteristics in symptomatic patients with myocardial bridging: effect of short-term intravenous beta-blocker medication.有症状的心肌桥患者的功能、血管造影及冠状动脉内多普勒血流特征：短期静脉应用β受体阻滞剂药物的影响
J Am Coll Cardiol. 1996 Jun;27(7):1637-45. doi: 10.1016/0735-1097(96)00062-9.
4
Myocardial bridging of the left anterior descending artery: evaluation using exercise thallium-201 myocardial scintigraphy.左前降支冠状动脉心肌桥：运用运动负荷铊-201心肌闪烁显像术进行评估
Cathet Cardiovasc Diagn. 1980;6(2):173-80. doi: 10.1002/ccd.1810060207.
5
The mural left anterior descending coronary artery, strenuous exercise and sudden death.
Circulation. 1980 Aug;62(2):230-7. doi: 10.1161/01.cir.62.2.230.
6
Myocardial bridge associated with pacing-induced coronary spasm.心肌桥合并起搏诱发的冠状动脉痉挛。
Am Heart J. 1984 Dec;108(6):1540-3. doi: 10.1016/0002-8703(84)90703-8.
7
Myocardial bridges: a review.
Prog Cardiovasc Dis. 1983 Jul-Aug;26(1):75-88. doi: 10.1016/0033-0620(83)90019-1.
8
Evidence for endothelial dysfunction and enhanced vasoconstriction in myocardial bridges.
Am Heart J. 1991 Dec;122(6):1764-6. doi: 10.1016/0002-8703(91)90296-t.
9
Myocardial bridges: morphological and functional aspects.心肌桥：形态学与功能方面
Br Heart J. 1991 Nov;66(5):364-7. doi: 10.1136/hrt.66.5.364.
10
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.
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