Document Detail


Long-term prognosis of non-interventionally followed patients with isolated myocardial bridge and severe systolic compression of the left anterior descending coronary artery.
MedLine Citation:
PMID:  19685519     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The aim of this study was to investigate the long-term prognosis of non-interventionally followed patients with myocardial bridge and angiographic milking of the left anterior descending (LAD) coronary artery. METHODS: All of the coronary angiography records from May 2000 to November 2007 were reevaluated and patients who had more than 70% narrowing during systole on LAD were eligible for the present study. Follow-up was carried out by physical examination, echocardiography, and treadmill exercise testing. The clinical situations of the patients, medical treatment at the time of follow-up, and experienced events (death, myocardial infarction, or revascularization) were recorded. RESULTS: There were 59 eligible patients (44 male, 74.6%). The mean age of the patients was 54 +/- 11 years. The bridges were located in the proximal, mid, and distal portion of the LAD in 17 (28.8%), 20 (33.9%), and 22 (37.3%) patients, respectively. Distributions of the narrowing degree were as follows: between 70% to 89% in 33 (56%) patients and 90% to 100% in 26 (44%) patients. Mean follow-up duration of the group was 37 +/- 13 months (range 15-65 mo). The clinical presentation during follow-up was stable angina in 9 (15.3%) cases, atypical angina in 12 (20.3%), atypical chest pain in 13 (22%), dyspnea in 3 (5.1%), and syncope in 3 (5.1%) cases. There were no experienced events and/or hospitalizations related to cardiac disease. Echocardiographic examination revealed normal systolic ventricular function. Only 17 (28.8%) patients continued to use medication. Most of them were on beta-blocker therapy. CONCLUSION: Patients with myocardial bridges and angiographic milking of the LAD coronary artery have a good long-term prognosis.
Authors:
Ertan Ural; Ulas Bildirici; Umut Celikyurt; Teoman Kilic; Tayfun Sahin; Eser Acar; Göksel Kahraman; Dilek Ural
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  32     ISSN:  1932-8737     ISO Abbreviation:  -     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-24     Completed Date:  2009-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  454-7     Citation Subset:  IM    
Affiliation:
Kocaeli University Medical Faculty, Department of Cardiology, Umuttepe/Kocaeli, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angina Pectoris / etiology,  radiography
Cardiovascular Agents / therapeutic use
Cineangiography*
Coronary Angiography*
Coronary Stenosis / drug therapy,  etiology,  radiography*
Dyspnea / etiology,  radiography
Echocardiography
Exercise Test
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Bridging / complications,  drug therapy,  radiography*
Myocardial Ischemia / etiology,  radiography
Registries
Severity of Illness Index
Syncope / etiology,  radiography
Time Factors
Treatment Outcome
Chemical
Reg. No./Substance:
0/Cardiovascular Agents

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