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. ChepurnenkoRussian Federation
Rostov-on-Don
G. V. Shavkuta
Russian Federation
Rostov-on-Don
A. D. Nasytko
Russian Federation
Rostov-on-Don
References
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Supplementary files
Review
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