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Cardiovascular Therapy and Prevention

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Myocardial bridging: non-invasive diagnostics and management

https://doi.org/10.15829/1728-8800-2020-2418

Abstract

The article discusses a case of episodes of asymptomatic ST-T depression during exercise in a 37-year-old patient with complaints of irregular heartbeat, tachycardia up to 100 bpm, not related to exercise. According to contrast-enhanced multislice computed tomography, in the middle third, a muscle bridge with stenosis of up to 30% was found. The diagnosis was made: Congenital coronary artery anomaly: transmyocardial muscular bridge of the middle third of left anterior descending artery with stenosis up to 30%. Class 1 silent myocardial ischemia. Stage 0, class 0 chronic heart failure. Using non-invasive coronary imaging, it was possible to identify the cause of transient ST-T depression and to choose the appropriate therapy.

About the Authors

S. A. Chepurnenko
Rostov State Medical University; Rostov Regional Clinical Hospital
Russian Federation
Rostov-on-Don


G. V. Shavkuta
Rostov State Medical University
Russian Federation
Rostov-on-Don


A. D. Nasytko
Rostov State Medical University
Russian Federation
Rostov-on-Don


References

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2. Mok S., Majdalany D. Extensive unroofing of myocardial bridge: A case report and literature review. Heart & Vascular Institute. 2019; 7. doi:10.11 77/2050313X18823380.

3. Еuropean Society of Cardiology. European Heart journal. 2019:1-71. doi: 10.1093/eurheartj/ehx425.

4. Preto J. do R. Myocardial Bridging. Brazilian Journal of Cardiovascular Surgery. 2016;1:31. doi:10.5935/1678-9741.20150082 .


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For citations:


Chepurnenko S.A., Shavkuta G.V., Nasytko A.D. Myocardial bridging: non-invasive diagnostics and management. Cardiovascular Therapy and Prevention. 2020;19(6):2418. (In Russ.) https://doi.org/10.15829/1728-8800-2020-2418

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ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)