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心肌桥—壁冠状动脉64例临床分析 被引量：1

Clinical Characteristics of 64 Cases of Mural Coronary Artery Detected by Multidetector Computer Tomography
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摘要 目的:探讨心肌桥—壁冠状动脉(MB-MCA)的临床特点。方法:回顾分析64例多层螺旋计算机断层摄影术(MSCT)冠状动脉(冠脉)成像检查检出的MB-MCA患者的临床资料。结果:孤立性MB-MCA29例,MB-MCA并冠脉硬化35例,孤立性MB-MCA在发病年龄、易患因素、临床症状、心电图及心脏超声改变等方面与MB-MCA合并冠脉硬化患者比均有明显差异(P<0.05)。结论:MSCT冠脉成像可用于MB-MCA的诊断。MB-MCA单独可引起心肌缺血的表现。 Objective ：To investigate the clinical characteristics of myocardial bridging-mural coronary artery （MB-MCA）. Method：We retrospectively analyzed clinical deta of 64 cases of Mural Coronary Artery Detected by Multidetector Computer Tomography. Results ：Twenty-nine case of signal MB-MCA and 35 case of MB-MCA complicated by coronary atherosclerosis were comparatively analyzed. The results showed that these two groups were significantly difference in age, risk factors, electrocardiographic as well as echocardiographic resalts. Conclusion ： Muhidetector Computer Tomography is valuable diagnostic method for MB-MCA. MB-MCA can induce myocardial ischemia.
作者 肖佑生 杨立 赵玉生
机构地区 中国人民解放军总医院 老年心血管研究所
出处 《中国循环杂志》 CSCD 北大核心 2007年第2期103-106,共4页 Chinese Circulation Journal
关键词 心绞痛 心肌桥—壁冠状动脉 多层螺旋计算机断层摄影术 Angina pectoris Myocardial bridging-mural coronary artery Mulitidetector computed bomography
分类号 R541.4 [医药卫生—心血管疾病]
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参考文献8

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二级参考文献14

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共引文献139

同被引文献9

  • 1王宁夫,潘浩,童国新.心肌桥和心肌桥近端合并严重动脉粥样硬化病变的介入治疗疗效观察[J].中华心血管病杂志,2005,33(8):684-686. 被引量：36
  • 2Kalaria VG,Koradia N,Breall JA. Myocardial briage a clinical review catheter cardiobasc[M]. Interv,2002,57:552-556.
  • 3Ge J, Erbel R, Rupprecht H J, et al. Comparison of intravaseular ultrasound and angiography in the essessment of myocardial bridging[J]. Circulation, 1994,89 : 1725-1732.
  • 4Low AF, Chia BL, Ng WL, et al. Bridge over troubling spasm:is the association of myocaridial bridging and coronavy artery spasm a distinct antity? Three ease reports[J]. Angiology,2004,55 : 217-220.
  • 5Leber AW, Knez A, yon Ziegler F, et al. Quantification of obstructive and nonibstructive coronary lesions by 64-slice computed tomography: A copmparative study with quantitative coronary angiography and intravas cular ultrasound[J]. J Am Coil Cardiol,2005,46 : 147-154.
  • 6Mollet NR, Cademartiri F, van Mieghem CA, et al. High- resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventiondl coronary angilgraphy[J]. Circulation,2005,112 : 2318-2323.
  • 7HongoY, Tada H, Ito K, et al. Augmentation of vessel squeezing at coronary-myocardial bridge by nitroglycerin: study by quantitative coronary angiography and intravascu- lar ultrasound[J]. Am Heart J, 1999,138 : 345-350.
  • 8蔡衡,万征,林青,李晓春,张文娟,袁文利,丁春华,刘博江,张殿芬,赵俊雪.心肌桥的冠状动脉造影特点及临床意义[J].中国循环杂志,2003,18(1):31-33. 被引量：27
  • 9张国辉,葛均波,王克强,张红旗,贾建国.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. 被引量：112

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中国循环杂志
2007年 第2期

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