[Diagnosis, prognosis and treatment of 'myocardial bridging': state of the art and unresolved issues]
| Autor: | VERNUCCIO, Federica, Fazio, G, LO RE, Giuseppe, Grutta, G, Insalaco, A, GALFANO, Maria Cristina, RABITA, Fabrizio, LA GRUTTA, Ludovico |
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| Přispěvatelé: | Vernuccio, F, Fazio, G, Lo Re, G, Grutta, G, Insalaco, A, Galfano, MC, Rabita, F, La Grutta, L |
| Rok vydání: | 2013 |
| Předmět: |
Myocardial Bridging
Vasodilator Agents Adrenergic beta-Antagonists Calcium Channel Blockers Coronary Angiography Prognosis Angiografia coronarica ponte intramiocardico tomografia computerizzata multistrato Settore MED/11 - Malattie Dell'Apparato Cardiovascolare Humans Drug Therapy Combination Settore MED/36 - Diagnostica Per Immagini E Radioterapia Tomography X-Ray Computed Coronary angiography myocardial bridging multislice computed tomography Ultrasonography |
| Zdroj: | Recenti progressi in medicina. 104(9) |
| ISSN: | 0034-1193 |
| Popis: | The current gold standard for the diagnosis of myocardial bridging is conventional coronary angiography; however, it shows only indirect signs of the disease, due to the systolic compression of the artery caused by the myocardial bridge with narrowing of the lumen and diastolic relaxation. On the other hand, computed tomography coronary angiography, even though exposing to radiation, clearly demonstrates the intramural course, the overlying muscular bands and the surrounding tissues also in asymptomatic patients and in absence of systolic compression. The prognosis of patients with myocardial bridge is usually good, but further studies are needed to evaluate the long-term prognosis of these patients, the adequate diagnostic and preventive approach and to better discern which patients should be candidate to medical, percutaneous or surgical treatment. |
| Databáze: | OpenAIRE |
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