心肌桥最新研究进展

Latest Research Progress on Myocardial Bridge

心肌桥是一种先天性解剖变异,临床意义一直是一个讨论和争议话题。以往认为心肌桥是一种良性解剖变异,目前越来越多的研究表明,心肌桥可导致急性心肌缺血、心肌梗死、心律失常甚至心源性猝死。因此,临床医生应该提高对心肌桥的认识,根本上理解心肌桥的发病机制及病理生理,及时发现与心肌桥有关的临床表现,早期诊断心肌桥,正确掌握心肌桥的治疗原则。现就心肌桥最新研究结果予以概述,目的在于提高对心肌桥的认识,优化心肌桥患者的治疗。

As myocardial bridge being a congenital anatomic variation, the clinical significance of myocardial bridging has been a top ic of discussion and controversy. The myocardial bridge was considered as an benign anatomic variation in the past, but a growing number of studies have shown that myocardial bridge can lead to aeute myocardial ischemia, myocardial infarction, arrhythmia and even sudden cardiac death. Therefore, clinieians should raise awareness of myocardial bridge, a fundamental understanding of the pathogenesis and pathophysiol ogy of myocardial bridge, timely detection of clinical manifestations associated with myocardial bridge, early diagnosis of myocardial bridge, correctly grasp the principles of treatment of myocardial bridge. This paper reviews the outcomes of the latest studies to improve awareness of the myocardial bridge and optimise the management of the patients.