CAJ | 학술논문

目的结合心肌桥冠脉造影影像学特征,探讨防治部分心肌桥患者发作心绞痛症状的临床治疗方法.方法对2308例冠状动脉造影术检查中检出的32例心肌桥患者的临床影像学资料进行回顾性分析研究.结果心肌桥的发生率为1.39％,均为位于前降支的单桥,临床诊断孤立性心肌桥13例,并发冠脉粥样硬化15例,高血压病20例.32例心肌桥患者全部有发作性胸痛症状.结论冠脉造影术用于心肌桥的诊断可靠,心肌桥在心脏收缩期时可引起心肌缺血的表现,临床应用他汀类、β-受体阻滞剂等药物治疗心肌桥患者是有效的.
목적 결합심기교관맥조영영상학특정,탐토방치부분심기교환자발작심교통증상적림상치료방법.방법 대2308례관상동맥조영술검사중검출적32례심기교환자적림상영상학자료진행회고성분석연구.결과 심기교적발생솔위1.39％,균위위우전강지적단교,림상진단고립성심기교13례,병발관맥죽양경화15례,고혈압병20례.32례심기교환자전부유발작성흉통증상.결론 관맥조영술용우심기교적진단가고,심기교재심장수축기시가인기심기결혈적표현,림상응용타정류、β-수체조체제등약물치료심기교환자시유효적.
Objective To investigate the angiographic features of coronary myocardial bridge (CMB) and the treatment of angina pectoris in patients with coronary myocardia bridge.Methods Thirty-two patients with CMB out of 2308 cases underwent selective coronary angiography were studied retrospectively.Results The incidence of CMB was 1.39％.All of the patients had a single CMB and involved the left anterior descending coronary artery (LAD).Thirteen patients were diagnosed as simple CMB,15 patients were accompanied with coronary atherosclerosis,20 patients with hypertension.All the CMB patients had angina pectoris.Medicine such as β-blocker was effective to treat CMB patients.Conclusions Selective coronary angiography can be used to diagnose CMB.CMB may cause myocardial ischemia.CMB patients with symptoms should be treated actively.