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| 冠状动脉造影对心肌桥的检测及临床意义 | |
| 引用本文： | 王瑾,胡春梅,陈玉华,张俊峰,周军,陈维,沈卫峰.冠状动脉造影对心肌桥的检测及临床意义[J].医学临床研究,2006,23(9):1399-1401. |
| 作者姓名： | 王瑾 胡春梅 陈玉华 张俊峰 周军 陈维 沈卫峰 |
| 作者单位： | 1. 温州医学院,浙江,温州,325035 2. 上海交通大学医学院附属第三人民医院心,内科,上海,201900 3. 上海交通大学医学院附属瑞金医院心,内科,上海,200025 |
| 摘 要： | 目的 探讨冠脉造影中心肌桥的检出率及其临床意义。 方法 根据冠状动脉造影显示冠状动脉管腔收缩期狭窄判定心肌桥，并根据收缩期狭窄程度分为3级。 结果 1447例行冠状动脉造影的患者中共检出心肌桥10例，检出率2．2％，全部位于左前降支。2例在心肌桥近端有粥样硬化病变，管腔固定狭窄达70％以上，置入支架。其他有症状病例经药物治疗，临床症状消失。 结论 冠状动脉造影时收缩期狭窄是判定心肌桥的惟一依据，心肌桥可导致缺血性心脏事件，对有缺血症状者应予适当治疗。 |
| 关 键 词： | 冠状血管畸形 冠状血管造影术 |
| 文章编号： | 1671-7171(2006)09-1399-03 |
| 收稿时间： | 2006-06-15 |
| 修稿时间： | 2006年6月15日 |
Coronary Artery Myocardial Bridge in Coronary Angiography and Its Clinic Characteristics |
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| WANG Jin, HU Chun-mei, CHEN Yu-hua ,et al.Coronary Artery Myocardial Bridge in Coronary Angiography and Its Clinic Characteristics[J].Journal of Clinical Research,2006,23(9):1399-1401. | |
| Authors: | WANG Jin HU Chun-mei CHEN Yu-hua |
| Institution: | 1. Wenzhou Midical College,325035,Zhejiang 2. Department of Cardiology, No. 3 Hospital, Shanghai Jiaotong University, 201900,Shanghai |
| Abstract: | Objective]To study the rate of coronary artery myocardial bridge in coronary angiography and its clinical characteristics. Medthods]Myocardial bridges were detected only when the systolic narrowing occurred. Results]Angiographic evidence of myocardial bridges over left anterior descending branch was 10 in 447 patients. The rate of myocardial bridges was 2.2%. Two patients had atherosclerosis in the proximal cor onary arteries to myocardial bridges. Coronary artery myocardial bridges were treated effectively by medicine or stenting. Conclusion]Systolic narrowing is the important evidence of myocardial bridge in coronary angiography. Myocardial bridge can result in myocardial ischemia. Some treatments are necessary in ischemic c ase. |
| Keywords: | coronary vessel anomalies coronary angiography |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |