心肌桥的诊疗进展  

Progress in Diagnosis and Treatment of Myocardial Bridge

作　　者：易春秀 赵雅静[1] 莫金鑫 周润露 YI Chunxiu;ZHAO Yajing;MO Jinxin;ZHOU Runlu(Department of Cardiology,the Second Affiliated Hospital of Kunming Medical University,Kunming 650101,China)

机构地区：[1]昆明医科大学第二附属医院心内科,昆明650101

出　　处：《医学综述》2020年第15期3023-3027,共5页Medical Recapitulate

摘　　要：心肌桥常见于先天性解剖结构变异,近年来随着心肌桥诊断技术水平的不断完善和进步,越来越多的学者认为心肌桥不是良性解剖变异,且心肌桥可导致心律失常、心肌缺血、急性冠状动脉综合征、心源性猝死等不良心血管事件的发生,严重威胁人类的生命健康。但心肌桥的检出率普遍较低,并且其相关治疗至今仍存在争议。因此,临床医师应高度重视心肌桥患者的诊断和治疗,针对可疑的心肌桥患者,应早诊断、早治疗,尽早缓解患者临床症状及避免不良事件的发生。Myocardial bridge is common in congenital anatomical structural variation.In recent years,with the continuous improvement in diagnostic techniques and level of myocardial bridge,more and more scholars believe that myocardial bridge is not a benign anatomical variation,and it can lead to arrhythmia,myocardial ischemia,acute coronary syndrome,sudden cardiac death and other adverse cardiovascular events,seriously threatening human life and health.However,the detection rate of myocardial bridge is still generally low,and its related treatment is still controversial.Therefore,the clinicians should attach great importance to the diagnosis and treatment of the patients.For patients with suspected myocardial bridge,early diagnosis and early treatment should be given to alleviate the clinical symptoms as soon as possible and avoid the occurrence of adverse events.

关 键 词：心肌桥 冠状动脉 多层螺旋CT冠状动脉成像 

分 类 号：R541.1[医药卫生—心血管疾病]