中南医学科学杂志Issue(4)：420-423,4.DOI:10.15972/j.cnki.43-1509/r.2015.04.016
冠状动脉左前降支心肌桥患者的临床特点分析
Clinical Features of Patients with Myocardial Bridge on the Left Anterior Descending Artery
肖羚 1陈玉花 1刘列勇 1张熠1
作者信息
- 1. 永州市第三人民医院心内科，湖南 永州425000
- 折叠
摘要
Abstract
Objective To investigate the clinical feature of coronary myocardial bridge,stenosis or artery spasm with coronary myocardial bridge. Methods To analyze the coronary artery lesion and clinical data of 131 patients with coro-nary myocardial bridge,who were diagnosed by coronary angiography. Results Of 131 cases,more men than women,the coronary myocardial bridge could be seen mostly in the middle of anterior descending branch. Stenosis with coronary myocar-dial bridge were in 47,at the left anterior descending arteries in 34(72. 3%). Artery spasm with coronary myocardial bridge were in 28,at the middle of anterior descending branch in 21. Patients of stenosis with myocardial bridge,such as smoker, high blood pressure and diabetes,were more than in the simple myocardial bridge and artery spasm with coronary myocardial bridge(P<0. 05). It indicated that the risk factors of coronary heart disease also exist in the special crowd of myocardial bridge. All of them had varying degrees of chest pain such as patients with coronary heart disease in clinic symptom,and the more upgraded the Noble grading,the more severe the symptom. It was more typical in coronary myocardial bridge compli-cated with stenosis or artery spasm. Conclusions Coronary arteriography has long been taken as the gold standard for di-agnosis of coronary myocardial bridge. Myocardial bridge can lead to myocardial ischemia,cause symptoms such as angina pectoris. The symptom is related to the degree of systolic stenosis, the stenosis or artery spasm with coronary myocardial bridge. The main treatment of myocardial bridge is drug treatment.关键词
心肌桥/冠状动脉造影/狭窄/痉挛Key words
myocardial bridge/coronary ateriography/coronary stenosis/coronary artery spasm分类
医药卫生引用本文复制引用
肖羚,陈玉花,刘列勇,张熠..冠状动脉左前降支心肌桥患者的临床特点分析[J].中南医学科学杂志,2015,(4):420-423,4.
