| 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 |
Related Documents
:
|
8300889 - Clinical cardiotoxicity of 5-fluorouracil. 15149489 - Coronary vasoconstrictor potential of triptans: a review of in vitro pharmacologic data. 411609 - Nifedipine therapy for prinzmetal's angina. 15293589 - Prinzmetal's angina. 21741479 - Ranolazine reduces ca2+ overload and oxidative stress and improves mitochondrial integr... 9764069 - Coronary atherosclerosis within a myocardial bridge, not a benign condition. 1146699 - Use of a balloon-tipped flotation electrode catheter for cardiac mounting. 9894649 - Fast fourier transform analysis of ventricular fibrillation intervals to predict ventri... 16239989 - Atrial arrhythmias and special circumstances. |
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. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: N-terminal pro-B-type natriuretic peptide and inducible ischemia in the Heart and Soul Study.
Next Document: Impact of timing on efficacy and safetyof intracoronary autologous bone marrow stem cells transplant...