Immediate results of treatment of patients with myocardial bridges of the coronary arteries

The objective was to evaluate the immediate results of treatment of patients with symptomatic form of myocardial bridges of the coronary arteries.Methods and materials. In the course of a retrospective study, the results of treatment of 70 patients who had underwent drug treatment and 52 patients wh...

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Main Authors: I. K. Ismail-zade, V. K. Grebennik, I. I. Ivanov, N. R. Abutalimova, D. G. Zavarzina, G I. Ishmukhametov, M. L. Gordeev
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2021-06-01
Series:Вестник хирургии имени И.И. Грекова
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Online Access:https://www.vestnik-grekova.ru/jour/article/view/1594
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author I. K. Ismail-zade
V. K. Grebennik
I. I. Ivanov
N. R. Abutalimova
D. G. Zavarzina
G I. Ishmukhametov
M. L. Gordeev
author_facet I. K. Ismail-zade
V. K. Grebennik
I. I. Ivanov
N. R. Abutalimova
D. G. Zavarzina
G I. Ishmukhametov
M. L. Gordeev
author_sort I. K. Ismail-zade
collection DOAJ
description The objective was to evaluate the immediate results of treatment of patients with symptomatic form of myocardial bridges of the coronary arteries.Methods and materials. In the course of a retrospective study, the results of treatment of 70 patients who had underwent drug treatment and 52 patients who had underwent surgical treatment were analyzed. All the subjects had high functional angina pectoris.Results. Pharmacological therapy showed significant positive dynamics in 18 (25.7 %) patients. Analysis of the intraoperative and early postoperative periods in patients who underwent supracoronary myotomy allows us to conclude that surgical treatment of patients with myocardial bridges of the coronary arteries shows satisfactory results.Conclusion. Drug therapy may be effective in some patients with myocardial bridges of the coronary arteries. In case of ineffectiveness of pharmacological treatment, the possibility of performing surgery in the amount of supracoronary myotomy should be considered.
format Article
id doaj-art-ce5addf430b34862bff805547629104f
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publishDate 2021-06-01
publisher Pavlov First Saint Petersburg State Medical University
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series Вестник хирургии имени И.И. Грекова
spelling doaj-art-ce5addf430b34862bff805547629104f2025-08-20T03:23:31ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252021-06-011801172410.24884/0042-4625-2021-180-1-17-241235Immediate results of treatment of patients with myocardial bridges of the coronary arteriesI. K. Ismail-zade0V. K. Grebennik1I. I. Ivanov2N. R. Abutalimova3D. G. Zavarzina4G I. Ishmukhametov5M. L. Gordeev6Almazov National Medical Research CentreAlmazov National Medical Research CentreAlmazov National Medical Research CentreAlmazov National Medical Research CentreAlmazov National Medical Research CentreAlmazov National Medical Research CentreAlmazov National Medical Research CentreThe objective was to evaluate the immediate results of treatment of patients with symptomatic form of myocardial bridges of the coronary arteries.Methods and materials. In the course of a retrospective study, the results of treatment of 70 patients who had underwent drug treatment and 52 patients who had underwent surgical treatment were analyzed. All the subjects had high functional angina pectoris.Results. Pharmacological therapy showed significant positive dynamics in 18 (25.7 %) patients. Analysis of the intraoperative and early postoperative periods in patients who underwent supracoronary myotomy allows us to conclude that surgical treatment of patients with myocardial bridges of the coronary arteries shows satisfactory results.Conclusion. Drug therapy may be effective in some patients with myocardial bridges of the coronary arteries. In case of ineffectiveness of pharmacological treatment, the possibility of performing surgery in the amount of supracoronary myotomy should be considered.https://www.vestnik-grekova.ru/jour/article/view/1594myocardial bridgessupracoronary myotomyischemic heart disease
spellingShingle I. K. Ismail-zade
V. K. Grebennik
I. I. Ivanov
N. R. Abutalimova
D. G. Zavarzina
G I. Ishmukhametov
M. L. Gordeev
Immediate results of treatment of patients with myocardial bridges of the coronary arteries
Вестник хирургии имени И.И. Грекова
myocardial bridges
supracoronary myotomy
ischemic heart disease
title Immediate results of treatment of patients with myocardial bridges of the coronary arteries
title_full Immediate results of treatment of patients with myocardial bridges of the coronary arteries
title_fullStr Immediate results of treatment of patients with myocardial bridges of the coronary arteries
title_full_unstemmed Immediate results of treatment of patients with myocardial bridges of the coronary arteries
title_short Immediate results of treatment of patients with myocardial bridges of the coronary arteries
title_sort immediate results of treatment of patients with myocardial bridges of the coronary arteries
topic myocardial bridges
supracoronary myotomy
ischemic heart disease
url https://www.vestnik-grekova.ru/jour/article/view/1594
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AT iiivanov immediateresultsoftreatmentofpatientswithmyocardialbridgesofthecoronaryarteries
AT nrabutalimova immediateresultsoftreatmentofpatientswithmyocardialbridgesofthecoronaryarteries
AT dgzavarzina immediateresultsoftreatmentofpatientswithmyocardialbridgesofthecoronaryarteries
AT giishmukhametov immediateresultsoftreatmentofpatientswithmyocardialbridgesofthecoronaryarteries
AT mlgordeev immediateresultsoftreatmentofpatientswithmyocardialbridgesofthecoronaryarteries