Document Detail


Myocardial bridge: An unusual cause of asymptomatic ST-elevation during treadmill stress test causing functional ischaemia.
MedLine Citation:
PMID:  22741150     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Myocardial bridges are congenital structural abnormalities with debated clinical relevance; they may be traditionally asymptomatic or associated with various clinical manifestations, some of which may be potentially fatal. We report on a 60 years old man, who underwent a follow-up stress/rest myocardial perfusion scintigraphy developing asymptomatic exercise-induced ST-elevation and demonstrating completely reversible ischaemia in the scintigraphic images. Subsequent coronary angiography showed no artery stenosis, but revealed an intramyocardial pathway of the left anterior descending artery throughout a myocardial bridge. In conclusion, to our knowledge, this is the first reported case of asymptomatic exercise-induced ST-elevation secondary to a myocardial bridge.
Authors:
Ioannis Karfis; Christos Dresios; Irini Kotsalou; Mercurios Voyatzis; Dimitrios Antoniadis; Nikolaos Dimakopoulos
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-27
Journal Detail:
Title:  Hellenic journal of nuclear medicine     Volume:  -     ISSN:  1790-5427     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101257471     Medline TA:  Hell J Nucl Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
417 NIMTS Hospital, Nuclear Medicine Department Monis Petraki 10, 11521, Athens, Greece. ykarfis@gmail.com.
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