冠状动脉心肌桥的临床诊疗与分析
관상동맥심기교적림상진료여분석
The Clinical Diagnosis and Analysis of Coronary Muscle Bridge
  • 万方数据
    中国医学创新 중국의학창신
    MEDICAL INNOVATION OF CHINA
    2014年 27期 144-146 ,共3页

    王松涛%窦克非%张彬%常瑜%李献良%梁磊%姜先雁%崔美平%蒋文彬%张慧%路长鸿

    왕송도%두극비%장빈%상유%리헌량%량뢰%강선안%최미평%장문빈%장혜%로장홍

    心肌桥%冠状动脉造影%临床诊疗 心肌橋%冠狀動脈造影%臨床診療
    심기교%관상동맥조영%림상진료
    Myocardial bridge%Coronary angiography%Clinical diagnosis
    目的：探讨冠状动脉心肌桥的临床诊断及治疗。方法：对2012年1月-2013年12月本院接受冠脉造影的1506例患者进行回顾性分析，均采用右侧桡动脉穿刺途径行选择性冠脉造影。结果：共检出心肌桥54例，检出率为3.6%，均位于前降支。46例患者有不同程度的胸闷、胸痛，5例以心悸为首发症状就诊，2例因查体发现心电图异常就诊，25例心电图有静息状态下ST-T改变。53例患者选择药物治疗，仅1例行外科肌桥松解术，所有患者随访症状均明显缓解。结论：冠状动脉肌桥多发于前降支，可导致胸闷、心悸等临床症状，治疗上可用β受体阻滞剂和/或非二氢吡啶类钙离子拮抗剂，严重者可选用支架植入术或外科肌桥松解术。
    목적：탐토관상동맥심기교적림상진단급치료。방법：대2012년1월-2013년12월본원접수관맥조영적1506례환자진행회고성분석，균채용우측뇨동맥천자도경행선택성관맥조영。결과：공검출심기교54례，검출솔위3.6%，균위우전강지。46례환자유불동정도적흉민、흉통，5례이심계위수발증상취진，2례인사체발현심전도이상취진，25례심전도유정식상태하ST-T개변。53례환자선택약물치료，부1례행외과기교송해술，소유환자수방증상균명현완해。결론：관상동맥기교다발우전강지，가도치흉민、심계등림상증상，치료상가용β수체조체제화/혹비이경필정류개리자길항제，엄중자가선용지가식입술혹외과기교송해술。
    Objective:To evaluate the clinical diagnosis and treatment of coronary myocardial bridge. Method:1506 patients who accepted coronary arteriography from January 2012 to December 2013 in our hospital were retrospectively analyzed. They all adopted the right radial artery puncture route line of selective coronary angiography. Result:54 patients with myocardial bridge were identified,The detected ratio was 3.6%. All these patients were over the left anterior descending LAD.46 patients with varying degrees chest pain,5 patients with palpitations as the first symptom,2 patients were found abnormal ECG,25 patients’ECG have resting ST-T changed. 53 patients was treated with drug,only one case chose myotomy on myocardial bridge. All patients were followed up for symptoms relieved. Conclusion:Myocardial bridges are found most often at the left anterior descending coronary artery and can cause chest tightness,heart palpitations and other symptoms.β-blockers and(or)non-dihydropyridine can be used in medical treatment,Serious cases can chose the surgery treatment such as myotomy on myocardial bridge and CABG.
    원문보기 원문다운로드 사이트로이동
저자의 최근 논문