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心肌桥对冠状动脉粥样硬化的作用(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2005年第3期
页码:
249-250,255
栏目:
介入治疗
出版日期:
2005-05-05

文章信息/Info

Title:
The effects of a myocardial bridge on coronary atherosclerosis
作者:
关英敏张清王海昌
第四军医大学西京医院心血管内科,陕西 西安 710032
Author(s):
GUAN Yingmin ZHANG Qing WANG Haichang
Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi’an,Shaanxi 710032, China
关键词:
心肌桥 动脉粥样硬化 冠状动脉疾病
Keywords:
myocardial bridge atherosclerosis coronary disease
分类号:
R541.4;R285.5
DOI:
-
文献标识码:
A
摘要:
目的 探讨心肌桥与冠状动脉粥样硬化病变之间的关系。方法 回顾性分析冠脉造影术中检出的心肌桥患者92例的冠脉病变与临床资料。结果 1500例冠脉造影患者检出心肌桥92例,检出率6.1%;心肌桥近段冠状动脉粥样硬化病变发生率71.7%,远段冠状动脉粥样硬化病变发生率10.9%,两者差异有显著性(P<0.01)。结论 心肌桥可能导致冠状动脉心肌桥近段冠脉粥样硬化病变。
Abstract:
AIM To investigate the relationship between coronary myocardial bridge and the coronary atherosclerosis .METHODS Analyzed retrospectively coronary artery pathological changes and clinical datas of 92 patients with myocardial bridge in the coronary angiography(CAG) .RESULTS We found 92 patients with myocardial bridge in 1500 patients receiving CAG. Positive rate of myocardial bridge was 6.1% . The overall prevalence of coronary atherosclerosis of the proximal segment of myocardial bridge were 71.7% . The coronary artery atherosclerosis of the distal segment of myocardial bridge patients were 10.9%. There were significant difference in the positive rate between the two groups (P<0.01). CONCLUSION The myocardial bridge may cause coronary atherosclerosis of the proximal segment of myocardial bridge .

参考文献/References

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[6] Ge J, Erbel R, Rupprecht HJ, et al. Comparison of intravascular ultrasound and angiography in the assessment of myocardial bridging[J]. Circulation,1994,89:1725-1732.

[7] Ferreia AG Jr, Trotter SE, Konig B Jr, et al. Myocardial bridges: morphological and functional aspects[J]. Br Heart J,1991,66:364-367.

[8] 张国辉,葛均波,王克强,等. 心肌桥对冠状动脉内皮细胞形态和粥样硬化的作用[J].中华心血管病杂志,2003,31(4):293-295.

[9] 罗初凡,杜志民,胡承恒,等. 冠状动脉心肌桥与缺血性心脏病的关系[J].新医学,2001,32(6):332-334.

备注/Memo

备注/Memo:
收稿日期:2004-11-01.
更新日期/Last Update: 2010-01-05