A case of the changes of 2-dimensional strain after percutaneous coronary intervention for myocardial bridge.
- Author:
Seok Hoon KIM
1
;
Jeong Ho PARK
;
Jeong Myung AHN
;
San KIM
;
Jeong Nam LEE
;
Kyoung Im CHO
;
Tae Ik KIM
Author Information
1. Division of Cardiology, Internal Medicine, Maryknoll General Hospital, Busan, Korea. pajeongho@hanmail.net
- Publication Type:Case Report
- Keywords:
Myocardial bridge;
Stent;
Strain
- MeSH:
Arrhythmias, Cardiac;
Calcium Channels;
Coronary Angiography;
Coronary Vessels;
Humans;
Korea;
Male;
Middle Aged;
Motor Activity;
Myocardial Infarction;
Myocardial Ischemia;
Percutaneous Coronary Intervention*;
Stents
- From:Korean Journal of Medicine
2006;71(6):673-677
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The myocardial bridge of the coronary arteries is observed by coronary angiography at a rate of <5 % and ordinarily does not constitute a hazard. Occasionally, the compression of a coronary artery by a myocardial bridge can be associated with the clinical manifestations of myocardial ischemia during strenuous physical activity and might even result in a myocardial infarction or initiate malignant ventricular arrhythmias. A few cases of percutaneous coronary intervention for a myocardial bridge have been reported. However, there are few reports of the changes in the 2-dimensional strain in the myocardial bridge. We encountered a case of a myocardial bridge in a 48-year-old male patient who had refractory angina despite continuous medication with a beta-blocker and calcium channel blocker. The 2-dimensional strain of the patient changed after percutaneous coronary intervention with stents. We report the first case in Korea with a review of the relevant literature.