-
摘要: 心肌桥是冠状动脉的一种先天性解剖学改变，被认为是良性病变，但是越来越多的研究发现心肌桥会引起冠状动脉粥样硬化、心肌缺血甚至猝死。目前对于心肌桥的诊断依靠影像学方法。本文基于国内外对于心肌桥的研究结果，对心肌桥的流行病学、病理生理学、分级和分型、临床症状、诊断与评估、治疗管理与展望进行综述。Abstract: Myocardial bridge is a kind of congenital anatomic change of coronary artery, which is considered benign lesion. However, more and more studies have found that myocardial bridge can cause coronary atherosclerosis, myocardial ischemia and even sudden death. At present, the diagnosis of myocardial bridge relies on imaging methods. Based on the research results of myocardial bridge at home and abroad, this paper reviews the epidemiology, pathophysiology, grading and typing, clinical symptoms, diagnosis and evaluation, treatment management and prospect of myocardial bridge.
-
Key words:
- coronary artery disease /
- myocardial bridge /
- imageological examination
-
-
[1] 陈萍, 罗琳, 陈强, 等. LAD纵深型心肌桥形态与CT-FFR的关系研究[J]. 临床心血管病杂志, 2023, 39(4): 297-302. https://lcxxg.whuhzzs.com/article/doi/10.13201/j.issn.1001-1439.2023.04.012
[2] Alegria JR, Herrmann J, Holmes DR Jr, et al. Myocardial bridging[J]. Eur Heart J, 2005, 26(12): 1159-1168. doi: 10.1093/eurheartj/ehi203
[3] Jeong YH, Kang MK, Park SR, et al. A head-to-head comparison between 64-slice multidetector computed tomographic and conventional coronary angiographies in measurement of myocardial bridge[J]. Int J Cardiol, 2010, 143(3): 243-248. doi: 10.1016/j.ijcard.2009.02.015
[4] Migliore F, Maffei E, Perazzolo Marra M, et al. LAD coronary artery myocardial bridging and apical ballooning syndrome[J]. JACC Cardiovasc Imaging, 2013, 6(1): 32-41. doi: 10.1016/j.jcmg.2012.08.013
[5] Wasilewski J, Roleder M, Niedziela J, et al. The role of septal perforators and "myocardial bridging effect" in atherosclerotic plaque distribution in the coronary artery disease[J]. Pol J Radiol, 2015, 80: 195-201. doi: 10.12659/PJR.893227
[6] Sternheim D, Power DA, Samtani R, et al. Myocardial bridging: diagnosis, functional assessment, and management JACC state-of-the-art review[J]. J Am Coll Cardiol, 2021, 78(22): 2196-2212. doi: 10.1016/j.jacc.2021.09.859
[7] Rossi L, Dander B, Nidasio GP, et al. Myocardial bridges and ischemic heart disease[J]. Eur Heart J, 1980, 1(4): 239-245. doi: 10.1093/oxfordjournals.eurheartj.a061125
[8] 中国研究型医院学会《冠状动脉心肌桥诊断与治疗专家共识》专家组. 冠状动脉心肌桥诊断与治疗的专家共识[J]. 中国研究型医院, 2022, 9(5): 1-8.
[9] Amplatz K, Anderson R. Angiographic appearance of myocardial bridging of the coronary artery[J]. Investig Radiol, 1968, 3(3): 213-215. doi: 10.1097/00004424-196805000-00009
[10] Downey HF, Crystal GJ, Bashour FA. Asynchronous transmural perfusion during coronary reactive hyperaemia[J]. Cardiovasc Res, 1983, 17(4): 200-206. doi: 10.1093/cvr/17.4.200
[11] 武宵月, 郭任维, 王全义. 心肌桥与动脉粥样硬化关系的研究进展[J]. 中西医结合心脑血管病杂志, 2023, 21(5): 855-858.
[12] Schwarz ER, Gupta R, Haager PK, et al. Myocardial bridging in absence of coronary artery disease: proposal of a new classification based on clinical-angiographic data and long-term follow-up[J]. Cardiology, 2009, 112(1): 13-21. doi: 10.1159/000137693
[13] Lee BK, Lim HS, Fearon WF, et al. Invasive evaluation of patients with angina in the absence of obstructive coronary artery disease[J]. Circulation, 2015, 131(12): 1054-1060. doi: 10.1161/CIRCULATIONAHA.114.012636
[14] Rogers IS, Tremmel JA, Schnittger I. Myocardial bridges: Overview of diagnosis and management[J]. Congenit Heart Dis, 2017, 12(5): 619-623. doi: 10.1111/chd.12499
[15] Murtaza G, Mukherjee D, Gharacholou SM, et al. An updated review on myocardial bridging[J]. Cardiovasc Revasc Med, 2020, 21(9): 1169-1179. doi: 10.1016/j.carrev.2020.02.014
[16] Tio RA, Ebels T. Ventricular septal rupture caused by myocardial bridging[J]. Ann Thorac Surg, 2001, 72(4): 1369-1370. doi: 10.1016/S0003-4975(01)02562-0
[17] Feld H, Guadanino V, Hollander G, et al. Exercise-induced ventricular tachycardia in association with a myocardial bridge[J]. Chest, 1991, 99(5): 1295-1296. doi: 10.1378/chest.99.5.1295
[18] Bestetti RB, Costa RS, Kazava DK, et al. Can isolated myocardial bridging of the left anterior descending coronary artery be associated with sudden death during exercise?[J]. Acta Cardiol, 1991, 46(1): 27-30.
[19] Masuda T, Ishikawa Y, Akasaka Y, et al. The effect of myocardial bridging of the coronary artery on vasoactive agents and atherosclerosis localization[J]. J Pathol, 2001, 193(3): 408-414. doi: 10.1002/1096-9896(2000)9999:9999<::AID-PATH792>3.0.CO;2-R
[20] Lerman A, Edwards BS, Hallett JW, et al. Circulating and tissue endothelin immunoreactivity in advanced atherosclerosis [J]. N Engl J Med, 1991, 325(14): 997-1001. doi: 10.1056/NEJM199110033251404
[21] Ihling C, Szombathy T, Bohrmann B, et al. Coexpression of endothelin-converting enzyme-1 and endothelin-1 in different stages of human atherosclerosis[J]. Circulation, 2001, 104(8): 864-869. doi: 10.1161/hc3301.094742
[22] Hostiuc S, Negoi I, Rusu MC, et al. Myocardial bridging: a meta-analysis of prevalence[J]. J Forensic Sci, 2018, 63(4): 1176-1185. doi: 10.1111/1556-4029.13665
[23] Roberts W, Charles SM, Ang C, et al. Myocardial bridges: a meta-analysis[J]. Clin Anat, 2021, 34(5): 685-709. doi: 10.1002/ca.23697
[24] Ge J, Erbel R, Rupprecht HJ, et al. Comparison of intravascular ultrasound and angiography in the assessment of myocardial bridging[J]. Circulation, 1994, 89(4): 1725-1732. doi: 10.1161/01.CIR.89.4.1725
[25] Yamada R, Tremmel JA, Tanaka S, et al. Functional versus anatomic assessment of myocardial bridging by intravascular ultrasound: impact of arterial compression on proximal atherosclerotic plaque[J]. J Am Heart Assoc, 2016, 5(4): e001735. doi: 10.1161/JAHA.114.001735
[26] Corban MT, Hung OY, Eshtehardi P, et al. Myocardial bridging contemporary understanding of pathophysiology with implications for diagnostic and therapeutic strategies[J]. J Am Coll Cardiol, 2014, 63(22): 2346-2355. doi: 10.1016/j.jacc.2014.01.049
[27] Tarantini G, Migliore F, Cademartiri F, et al. Left anterior descending artery myocardial bridging A clinical approach[J]. J Am Coll Cardiol, 2016, 68(25): 2887-2899. doi: 10.1016/j.jacc.2016.09.973
[28] Kikuchi S, Okada K, Hibi K, et al. Myocardial infarction caused by accelerated plaque formation related to myocardial bridge in a young man[J]. Can J Cardiol, 2018, 34(12): 1687. e13-1687. e15. doi: 10.1016/j.cjca.2018.08.023
[29] Schwarz ER, Klues HG, vom Dahl J, et al. Functional, angiographic and intracoronary Doppler flow characteristics in symptomatic patients with myocardial bridging: effect of short-term intravenous beta-blocker medication[J]. J Am Coll Cardiol, 1996, 27(7): 1637-1645. doi: 10.1016/0735-1097(96)00062-9
[30] Tarantini G, Barioli A, Nai Fovino L, et al. Unmasking myocardial bridge-related ischemia by intracoronary functional evaluation[J]. Circ Cardiovasc Interv, 2018, 11(6): e006247. doi: 10.1161/CIRCINTERVENTIONS.117.006247
[31] Katznelson Y, Petchenko P, Knobel B, et al. Myocardial bridging: surgical technique and operative results[J]. Mil Med, 1996, 161(4): 248-250. doi: 10.1093/milmed/161.4.248
[32] Hemmati P, Schaff HV, Dearani JA, et al. Clinical outcomes of surgical unroofing of myocardial bridging in symptomatic patients[J]. Ann Thorac Surg, 2020, 109(2): 452-457. doi: 10.1016/j.athoracsur.2019.07.005
[33] Ji Q, Shen JQ, Xia LM, et al. Surgical treatment of symptomatic left anterior descending myocardial bridges: myotomy vs. bypass surgery[J]. Surg Today, 2020, 50(7): 685-692. doi: 10.1007/s00595-019-01935-1
-
计量
- 文章访问数: 718
- PDF下载数: 114
- 施引文献: 0
下载: