63例单纯冠状动脉心肌桥临床资料分析  

Clinical Analysis of 63 Cases of Myocardial Bridge

作　　者：宗刚军[1] 王霄[1] 吴刚勇[1] 夏阳[1] 张丽[1] 陈满清[1] 陈景开[1] 

机构地区：[1]中国人民解放军第101医院心内科,无锡214044

出　　处：《医学研究杂志》2009年第6期87-89,共3页Journal of Medical Research

摘　　要：目的通过对63例单纯冠状动脉心肌桥的临床资料进行分析,了解心肌桥的临床意义,以便更好地指导诊断和治疗。方法选择63例单纯心肌桥患者以及63例冠脉造影阴性患者,对两组病例的症状、心电图、运动试验、冠脉造影、治疗情况以及治疗前后C反应蛋白(CRP)变化进行对比分析。结果心肌桥患者的症状主要表现为胸闷、胸痛多见,心肌耗氧量增加时,症状加重;大部分患者心电图及运动试验阳性,但与桥血管狭窄程度没有明确关系;心肌桥多发现在左前降支;心肌桥治疗方法目前主要以药物为主;经过积极的药物治疗后血清CRP有明显的降低。结论心肌桥是有重要临床意义的解剖异常,需要正确处理,CRP也同样可以作为心肌桥患者治疗效果的预测指标。Objective To evaluate the significance of myocardial bridge and find a reasonable diagnosis and treatment strategy. Methods Sixty - three myocardial bridge patients and sixty - three patients with negative results of coronary artery angiography were reviewed. The clinical data of symptoms, electrocardiogram, exercise tests, coronary artery angiography, therapeutics and the serum levels of C - reactive protein（CRP） were analyzed. Results The symptoms of chest distress and chest pain were found in myocardial bridge patients. Myocardial consumption of oxygen augmentation causes the symptoms of aggravation. Positive results of electrocardiogram and exercise tests in many of myocardial bridge patients were examined. There were no relationship with severity of myocardial bridge artery stenosis. Most of myocardial bridge were discovered in anterior descending branch. At present, the main treatment of myocardial bridge was drug therapeutics. After treatment, the serum levels of CRP was significantly decreased. Conclusion Myocardial bridge was anatomy abnormality with important clinical significance. The serum levels of CRP can be used to evalue the therapeutic efficacy of myocardial bridge.

关 键 词：心肌桥 运动试验 冠状动脉造影 C反应蛋白 

分 类 号：R542.2[医药卫生—心血管疾病] R540.41[医药卫生—内科学]