在接受冠状动脉血管扫描以检测冠状动脉疾病的患者中进行心肌桥架
Ajay Mishra1, Shahnawaz Jafri2, Saboor Mateen1
1Internal Medicine, Era's Lucknow Medical College and Hospital, Lucknow, IND.
Cureus
|June 11, 2024
概括
心肌架桥 (MB) 影响3.9%的胸痛患者,在男性中更为常见. 这项研究发现,印度的MB患病率低于西方国家,往往与稳定的冠状动脉疾病有关.
科学领域:
- 心脏病学 心脏病学
- 血管解剖学 血管解剖学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 心肌桥架 (MB) 是一种罕见的冠状动脉异常.
- 它可以导致心肌缺血,心律失常和心脏突然死亡.
- 了解MB的患病率和特征对于患者风险评估至关重要.
研究的目的:
- 确定心肌桥架 (MB) 的流行率和特征.
- 在接受冠状动脉血管造影的胸痛患者中评估MB.
- 为了将印度人口中的MB流行率与西方数据进行比较.
主要方法:
- 在1301名患有胸痛的患者中进行了冠状动脉动图.
- 对患者进行了心肌架桥的存在和特征的评估.
- 收集了关于临床表现,风险因素和相关动脉样硬化的数据.
主要成果:
- 心肌桥架 (MB) 在51名患者 (3.9%的患病率) 中被发现.
- 在男性中,MB更为普遍 (3.9:1比),并与稳定的心痛相关.
- 左前下垂动脉的中段最常受到影响;51%的MB患者患有动脉样硬化.
结论:
- 印度人口中心肌桥梁 (MB) 的患病率低于西方人口.
- 在男性中,MB更为常见,在血管学上经常观察到冠状动脉正常的患者.
- MB与动脉样硬化有关,通常在受影响的冠状动脉的相同或相邻部分.
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