Affiliation:
1. Almazov National Medical Research Centre
Abstract
The objective was to evaluate the immediate results of treatment of patients with symptomatic form of myocardial bridges of the coronary arteries.Methods and materials. In the course of a retrospective study, the results of treatment of 70 patients who had underwent drug treatment and 52 patients who had underwent surgical treatment were analyzed. All the subjects had high functional angina pectoris.Results. Pharmacological therapy showed significant positive dynamics in 18 (25.7 %) patients. Analysis of the intraoperative and early postoperative periods in patients who underwent supracoronary myotomy allows us to conclude that surgical treatment of patients with myocardial bridges of the coronary arteries shows satisfactory results.Conclusion. Drug therapy may be effective in some patients with myocardial bridges of the coronary arteries. In case of ineffectiveness of pharmacological treatment, the possibility of performing surgery in the amount of supracoronary myotomy should be considered.
Publisher
FSBEI HE I.P. Pavlov SPbSMU MOH Russia
Reference29 articles.
1. Portsmann W., Iwig J. Die intramurale koronaroarterie im angiogramm // Fortschr Roentenstr. 1960;(92):129.
2. Erbel R., Ge J., Möhlenkamp S. Myocardial bridging: a congenital variant as an anatomic risk factor for myocardial infarction // Circulation. 2009;120(5):357–359. Doi: 10.1161/CIRCULATIONAHA.109.881367
3. Arjomand H., AlSalman J., Azain J., Amin D. Myocardial bridging of left circumflex coronary artery associated with acute myocardial infarction // J Invasive Cardiol. 2000;12(8): 431–434. PMID: 10953110.
4. Amitani K., Yamaguchi T., Takahashi N., Uchida T., Kushikata Y., Munakata K. et al. Two cases of myocardial bridge associated with myocardial ischemia [Japanese] // J Nippon Med Sch 2000;(67):206–209. Doi: 10.1272/jnms.67.206.
5. Schar B. Myocardial bridging: symptoms of coronary disease that sometimes is not // Schweiz Rundsch Med Prax 2001;(90):1923–1928. Doi: 10.1055/s-0031-1278262.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献