摘要
目的:观察分析冠状动脉心肌桥患者的临床特征,探讨其治疗方法。方法:回顾性分析在我院接受选择性冠状动脉造影2252例患者的临床资料。结果:在2252例行冠状动脉造影患者中,发现冠状动脉心肌桥56例(2.48%),53例位于左前降支(LAD),1例位于左回旋支(LCX),l例位右冠,l例位于中间支;26例有典型心绞痛症状,24例为不典型心绞痛,1例为心肌梗死,3例表现为心悸,其余2例患者无症状。所有患者均应用B-受体阻滞剂及钙通道阻滞剂治疗,其中孤立性心肌桥患者中有25例患者症状明显改善;合并冠脉严重狭窄病变l5例患者行PCI术后给予B-受体阻滞剂及钙通道阻滞剂治疗,患者症状均明显改善。结论:单纯心肌桥预后较好,少数可导致严重后果;钙离子拮抗剂及β-受体阻滞荆可缓解心肌桥引起心绞痛症状,极少数病例需行PCI及外科手术治疗。
Objective：To investigate the clinical features of patients with coronary myocardial bridge（CMB）.And to investigate its treatment。（CMB）.Methods：A retrospective analysis was made to the clinical data of 2252 cases receiving selected coronary arteriongraph（CAG）.Results：Out of the 2252 cases.CMB was found in 56 cases（2.48%）.among which,53 cases in the left anterior descending（LAD）.1 case in LCX,1 case in right coronary artery,1 case in ramus medianus;26 cases showed out typical symptoms of angina pectoris and 24 cases showed out atypitcal ones.2 cases had myocardial infarction,3 cases expressed as heart palpitations,2 cases without symptoms.all patients received the treatment ofβreceptor block agent and calcium antagon block agent,25 cases with isolated myocardial bridge showed obvious symptom improvement as well as 15 cases with Coronary artery stenosis receiving percutaneous coronary intervention（PCI）before the treatment.Conclusion：The prognosis of myocardial bridge alone is good,Few can lead to serious consequences;Calcium antagon andβreceptor block agent are efective in relieving the symptom of CMB,Few cases need PCI or surgery.
出处
《中国医药导刊》
2012年第4期564-565,567,共3页
Chinese Journal of Medicinal Guide
关键词
心肌桥
冠状动脉造影
治疗
Myocardial bridge
Coronary angiography
Treatment
