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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Main Authors: S. A. Chepurnenko, G. V. Shavkuta, A. D. Nasytko
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2020-12-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
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.
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spelling doaj.art-d2a40d8a83c0438b85800dcfff1a4b3f2023-03-13T07:23:29Zrus«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. Nasytko2ФГБОУ ВО “Ростовский государственный медицинский университет” Министерства здравоохранения Российской Федерации; ГБУ РО «Ростовская областная клиническая больница»ФБГОУ ВО Ростовский государственный медицинский университет Министерства здравоохранения Российской Федерации;ФБГОУ ВО Ростовский государственный медицинский университет Министерства здравоохранения Российской Федерации;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.https://cardiovascular.elpub.ru/jour/article/view/2418трансмиокардиальный мышечный ходспиральная компьютерная коронарографиянеинвазивная визуализация коронарного русла.
spellingShingle S. A. Chepurnenko
G. V. Shavkuta
A. D. Nasytko
Myocardial bridging: non-invasive diagnostics and management
Кардиоваскулярная терапия и профилактика
трансмиокардиальный мышечный ход
спиральная компьютерная коронарография
неинвазивная визуализация коронарного русла.
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 трансмиокардиальный мышечный ход
спиральная компьютерная коронарография
неинвазивная визуализация коронарного русла.
url https://cardiovascular.elpub.ru/jour/article/view/2418
work_keys_str_mv AT sachepurnenko myocardialbridgingnoninvasivediagnosticsandmanagement
AT gvshavkuta myocardialbridgingnoninvasivediagnosticsandmanagement
AT adnasytko myocardialbridgingnoninvasivediagnosticsandmanagement