冠状动脉心肌桥的最新研究进展

An updated review on myocardial bridging

摘要:

冠状动脉心肌桥（MB）是一种先天性冠状动脉异常，大多数患者没有症状。然而，它是导致患者心肌缺血的一个重要因素，可导致心绞痛症状、急性冠状动脉综合征、心律失常，极少数可导致心脏性猝死。近年来，关于MB的病理生理学、诊断和治疗发表了大量研究文章。本文将从流行病学、病理生理、临床表现、诊断及治疗等方面对MB进行论述。

Abstract:

Myocardial bridging (MB) is a congenital coronary anomaly. The majority of patients with this coronary anomaly are asymptomatic. However, it is an important cause of myocardial ischemia, which may lead to anginal symptoms, acute coronary syndrome, cardiac arrhythmias and rarely sudden cardiac death. There are numerous studies published in the recent past on understanding the pathophysiology, diagnostic and management strategies of MB. This review provides a contemporary overview of epidemiology, pathobiology, clinical presentation, diagnosis and management of MB.