The Incidence and Significance of Myocardial Bridge in a Prospectively Defined Population of Patients Undergoing Coronary Angiography for Chest Pain
Since its first description in 1922, the incidence and pathophysiologic significance of myocardial bridges has remained controversial due to the relatively small size and retrospective design of most studies. We assessed the incidence and clinical consequence of myocardial bridges in 2547 patients u...
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| Veröffentlicht in: | The Tokai Journal of Experimental and Clinical Medicine 2000-06, Vol.25 (2), p.57-60 |
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| creator | Soran, O Pamir, G Erol, C Kocakavak, C Sabah, I |
| description | Since its first description in 1922, the incidence and pathophysiologic significance of myocardial bridges has remained controversial due to the relatively small size and retrospective design of most studies. We assessed the incidence and clinical consequence of myocardial bridges in 2547 patients undergoing coronary arteriography over a 16-month period at our medical center. Of the 511 patients without fixed coronary obstruction, 26 (5%) were found to have myocardial bridge. Of the 26 patients only 1 demonstrated ischemia as assessed by Tc-99m MIBI myocardial perfusion scintigraphy during treadmill exercise testing in the distribution of the culprit lesion. Therefore, the results of the present study suggest that angiographically detectable myocardial bridges are uncommon in patients undergoing routine angiography and are associated with ischemia in only one patient. |
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U. Teaching Hospital Cardiology Department ; Cardiology Department ; Ankara University Medical Faculty ; SSK Teaching Hospital</creatorcontrib><description>Since its first description in 1922, the incidence and pathophysiologic significance of myocardial bridges has remained controversial due to the relatively small size and retrospective design of most studies. We assessed the incidence and clinical consequence of myocardial bridges in 2547 patients undergoing coronary arteriography over a 16-month period at our medical center. Of the 511 patients without fixed coronary obstruction, 26 (5%) were found to have myocardial bridge. Of the 26 patients only 1 demonstrated ischemia as assessed by Tc-99m MIBI myocardial perfusion scintigraphy during treadmill exercise testing in the distribution of the culprit lesion. 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Of the 511 patients without fixed coronary obstruction, 26 (5%) were found to have myocardial bridge. Of the 26 patients only 1 demonstrated ischemia as assessed by Tc-99m MIBI myocardial perfusion scintigraphy during treadmill exercise testing in the distribution of the culprit lesion. Therefore, the results of the present study suggest that angiographically detectable myocardial bridges are uncommon in patients undergoing routine angiography and are associated with ischemia in only one patient.</description><subject>Chest Pain - diagnostic imaging</subject><subject>Chest Pain - etiology</subject><subject>Coronary Angiography</subject><subject>Coronary Vessel Anomalies - diagnostic imaging</subject><subject>Coronary Vessel Anomalies - epidemiology</subject><subject>Coronary Vessel Anomalies - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Myocardial Ischemia - diagnosis</subject><subject>Prospective Studies</subject><issn>0385-0005</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1Uc1u2zAM9mFDU3R9hUGn3QLQkmVbxzRrtwAtFqDt2ZAs2mHqSK5sD8h77IHHou2BPyA__n38kl2CqvUaAPQqu54mcgBS5qZUcJGt8jyXlYb6Mvv3dECxCy15DC0KG7x4pD5QR619C8ROPJxja5MnO4ibRL5HQUFYsU9xGrGd6S8OZ_ETOwroxT6Oy2BniuGtdM8ehnkSz8Fj6iOFXmxjisGms9iEnmKf7Hg4iy4msT3gNHMJhW_Z184OE15_2Kvs-e72aft7ff_n1267uV8fparntfFgoQaZK187MLp1uVbgDHaFQSjBgJZSFlXdKlvIDktdO1Wgq5zSxrhSXWU_3vuOKb4uPL050dTiMNiAcZmaSmoojTQM_P4BXNwJfTMmOvEJzSePDLh7B3CWmRtiGJiO5hiXFPiCxtt6ji-WGskfafgVGiSbgkVXrHhZXl0W6j_YdoXC</recordid><startdate>200006</startdate><enddate>200006</enddate><creator>Soran, O</creator><creator>Pamir, G</creator><creator>Erol, C</creator><creator>Kocakavak, C</creator><creator>Sabah, I</creator><general>The Tokai University School of Medicine and Tokai Medical Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200006</creationdate><title>The Incidence and Significance of Myocardial Bridge in a Prospectively Defined Population of Patients Undergoing Coronary Angiography for Chest Pain</title><author>Soran, O ; Pamir, G ; Erol, C ; Kocakavak, C ; Sabah, I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j238t-9d0a080213d8b095cb1530b9ef49e060905222478c3a42fe658b34eb7b3599b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Chest Pain - diagnostic imaging</topic><topic>Chest Pain - etiology</topic><topic>Coronary Angiography</topic><topic>Coronary Vessel Anomalies - diagnostic imaging</topic><topic>Coronary Vessel Anomalies - epidemiology</topic><topic>Coronary Vessel Anomalies - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Myocardial Ischemia - diagnosis</topic><topic>Prospective Studies</topic><toplevel>online_resources</toplevel><creatorcontrib>Soran, O</creatorcontrib><creatorcontrib>Pamir, G</creatorcontrib><creatorcontrib>Erol, C</creatorcontrib><creatorcontrib>Kocakavak, C</creatorcontrib><creatorcontrib>Sabah, I</creatorcontrib><creatorcontrib>Dr. M. U. Teaching Hospital Cardiology Department</creatorcontrib><creatorcontrib>Cardiology Department</creatorcontrib><creatorcontrib>Ankara University Medical Faculty</creatorcontrib><creatorcontrib>SSK Teaching Hospital</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The Tokai Journal of Experimental and Clinical Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soran, O</au><au>Pamir, G</au><au>Erol, C</au><au>Kocakavak, C</au><au>Sabah, I</au><aucorp>Dr. M. U. 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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Chest Pain - diagnostic imaging Chest Pain - etiology Coronary Angiography Coronary Vessel Anomalies - diagnostic imaging Coronary Vessel Anomalies - epidemiology Coronary Vessel Anomalies - pathology Female Humans Male Myocardial Ischemia - diagnosis Prospective Studies |
| title | The Incidence and Significance of Myocardial Bridge in a Prospectively Defined Population of Patients Undergoing Coronary Angiography for Chest Pain |
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