Myocardial Infarction in a Patient with Hypertrophic Cardiomyopathy

Autor:	Cristina Basso, Franca Gori, Gaetano Thiene
Rok vydání:	2000
Předmět:	medicine.medical_specialty Myocardial ischemia Myocardial bridging business.industry Diastole Hypertrophic cardiomyopathy General Medicine Blood flow medicine.disease Pathophysiology medicine.anatomical_structure Internal medicine medicine Cardiology Myocardial infarction business Artery
Zdroj:	New England Journal of Medicine. 342:593-594
ISSN:	1533-4406 0028-4793
DOI:	10.1056/nejm200002243420817
Popis:	To the Editor: An intramural coronary artery is defined as an arterial segment of variable length that, instead of lying subepicardially, courses deep in the myocardium and is covered by myocardial fibers (a “myocardial bridge”).1 On an angiogram, it may be marked by systolic compression with luminal narrowing. Although its pathophysiologic importance remains controversial, it has been shown that persistence of coronary-artery compression into diastole, when the largest fraction of coronary blood flow takes place, impairs myocardial perfusion.2 The recent study by Yetman et al.3 provided strong evidence that myocardial bridging is an important cause of myocardial ischemia in children . . .
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::17171036d3cf1578b89a6ae254316d21 https://doi.org/10.1056/nejm200002243420817 Zobrazit plný text záznamu