Myocardial bridging as one of the causes of atypical chest pain in young women

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Egyptian Heart Journal Pub Date : 2017-12-01 DOI:10.1016/j.ehj.2017.03.005

M. Jukić , L. Pavić , I. Bitunjac , T. Jukić , M. Milošević , D. Lovrić , M. Lovrić Benčić

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引用次数: 2

Abstract

Introduction

Myocardial bridging is congenital anomaly which usually has benign prognosis but there are also reports suggesting that it can be associated with ischemic clinical syndromes presenting with chest pain. Coronary computed tomography angiography is a well-established method for detecting myocardial bridging. However, clinical significance of this anomaly still remains unclear.

Methods

We studied 977 patients who presented with recurrent typical or atypical chest pain in outpatient clinic. All patients have undergone detailed clinical examination, ECG stress testing and coronary computed tomography angiography.

Results

Highest positive prediction for having myocardial bridging was for patients presenting with atypical chest pain with negative ECG stress test and who were younger women.

Conclusion

Coronary computed tomography angiography may be preferable method for evaluation of chest pain in younger women presenting with atypical chest pain.

Abstract Image

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心肌桥是年轻女性不典型胸痛的原因之一

心肌桥接是一种先天性异常，通常预后良好，但也有报道表明它可能与以胸痛为表现的缺血性临床综合征有关。冠状动脉计算机断层血管造影是一种成熟的检测心肌桥的方法。然而，这种异常的临床意义仍不清楚。方法对977例门诊复发的典型或非典型胸痛患者进行分析。所有患者均进行了详细的临床检查、心电图压力测试和冠状动脉ct血管造影。结果心电负荷试验阴性的非典型胸痛患者和年轻女性对心肌桥的阳性预测最高。结论冠状动脉ct血管造影是评价年轻女性非典型胸痛的较好方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Egyptian Heart Journal CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.10

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： The Egyptian Heart Journal is the official journal of the Egyptian Society of Cardiology. It is an international journal that publishes peer-reviewed articles on all aspects of cardiovascular disease, including original clinical studies and translational investigations. The journal publishes research, review articles, case reports and commentary articles, as well as editorials interpreting and commenting on the research presented. In addition, it provides a forum for the exchange of information on all aspects of cardiovascular medicine, including educational issues.