Myocardial bridging: non-invasive diagnostics and management
The article discusses a case of episodes of asymptomatic ST-T depression during exercise in a 37-year-old patient with complaints of irregular heartbeat, tachycardia up to 100 bpm, not related to exercise. According to contrast-enhanced multislice computed tomography, in the middle third, a muscle b...
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| Format: | Article |
| Language: | Russian |
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«SILICEA-POLIGRAF» LLC
2020-12-01
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| Series: | Кардиоваскулярная терапия и профилактика |
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| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/2418 |
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| author | S. A. Chepurnenko G. V. Shavkuta A. D. Nasytko |
| author_facet | S. A. Chepurnenko G. V. Shavkuta A. D. Nasytko |
| author_sort | S. A. Chepurnenko |
| collection | DOAJ |
| description | The article discusses a case of episodes of asymptomatic ST-T depression during exercise in a 37-year-old patient with complaints of irregular heartbeat, tachycardia up to 100 bpm, not related to exercise. According to contrast-enhanced multislice computed tomography, in the middle third, a muscle bridge with stenosis of up to 30% was found. The diagnosis was made: Congenital coronary artery anomaly: transmyocardial muscular bridge of the middle third of left anterior descending artery with stenosis up to 30%. Class 1 silent myocardial ischemia. Stage 0, class 0 chronic heart failure. Using non-invasive coronary imaging, it was possible to identify the cause of transient ST-T depression and to choose the appropriate therapy. |
| format | Article |
| id | doaj-art-d2a40d8a83c0438b85800dcfff1a4b3f |
| institution | DOAJ |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| publishDate | 2020-12-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj-art-d2a40d8a83c0438b85800dcfff1a4b3f2025-08-20T02:59:14Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252020-12-0119610.15829/1728-8800-2020-24182157Myocardial bridging: non-invasive diagnostics and managementS. A. Chepurnenko0G. V. Shavkuta1A. D. Nasytko2Rostov State Medical University; Rostov Regional Clinical HospitalRostov State Medical UniversityRostov State Medical UniversityThe article discusses a case of episodes of asymptomatic ST-T depression during exercise in a 37-year-old patient with complaints of irregular heartbeat, tachycardia up to 100 bpm, not related to exercise. According to contrast-enhanced multislice computed tomography, in the middle third, a muscle bridge with stenosis of up to 30% was found. The diagnosis was made: Congenital coronary artery anomaly: transmyocardial muscular bridge of the middle third of left anterior descending artery with stenosis up to 30%. Class 1 silent myocardial ischemia. Stage 0, class 0 chronic heart failure. Using non-invasive coronary imaging, it was possible to identify the cause of transient ST-T depression and to choose the appropriate therapy.https://cardiovascular.elpub.ru/jour/article/view/2418transmyocardial muscular bridgemultislice computed tomography coronary angiographynon-invasive coronary artery visualization |
| spellingShingle | S. A. Chepurnenko G. V. Shavkuta A. D. Nasytko Myocardial bridging: non-invasive diagnostics and management Кардиоваскулярная терапия и профилактика transmyocardial muscular bridge multislice computed tomography coronary angiography non-invasive coronary artery visualization |
| title | Myocardial bridging: non-invasive diagnostics and management |
| title_full | Myocardial bridging: non-invasive diagnostics and management |
| title_fullStr | Myocardial bridging: non-invasive diagnostics and management |
| title_full_unstemmed | Myocardial bridging: non-invasive diagnostics and management |
| title_short | Myocardial bridging: non-invasive diagnostics and management |
| title_sort | myocardial bridging non invasive diagnostics and management |
| topic | transmyocardial muscular bridge multislice computed tomography coronary angiography non-invasive coronary artery visualization |
| url | https://cardiovascular.elpub.ru/jour/article/view/2418 |
| work_keys_str_mv | AT sachepurnenko myocardialbridgingnoninvasivediagnosticsandmanagement AT gvshavkuta myocardialbridgingnoninvasivediagnosticsandmanagement AT adnasytko myocardialbridgingnoninvasivediagnosticsandmanagement |