Myocardial muscle coronary arteries: diagnosis and treatment in the practice of a family doctor.

Prof. T.M. Tykhonova1, PhD O.Yu. Bychkova1, PhD T.S. Butova1, A.S. Vnukova2.

1 — V.N. Karazin Kharkiv National University

2 — Kharkiv Medical Academy of Postgraduate Education

 The article presents data on prevalence, etiopathogenetic aspects, clinical manifestations, features of diagnosis and principles of treatment of myocardial muscle bridge. The attention of family doctors and pediatricians is drawn to the timely diagnosis of this congenital condition. The clinical case of diagnosed myocardial muscle bridge in a patient with atherosclerosis of the coronary arteries is presented.

Key Words: coronary arteries, myocardial muscle bridge, diagnostics, treatment.

https://dx.doi.org/10.15407/internalmed2020.01.018

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For citing:

1.Тихонова, Т.М. Міокардіальні м’язові містки коронарних артерій: діагностика і лікування у практиці сімейного лікаря / Т.М. Тихонова, О.Ю. Бичкова, Т.С. Бутова, А.С. Внукова // Східноєвропейський журнал внутрішньої та сімейної медицини. – 2020. – № 1. – С. 18-21. doi: 10.15407/internalmed2020.01.018.

2. Tykhonova TM, Bychkova OYu, Butova TS, Vnukova AS. [Myocardial muscle coronary arteries: diagnosis and treatment in the practice of a family doctor]. Shidnoevr. z. vnutr. simejnoi med. 2020;1:18-21. doi: 10.15407/internalmed2020.01.018. Ukrainian.

References:

1. Andreev SL, Shipulin VM, Aleksandrova EA, Gulya MO. Miokardial’nyj myshechnyj mostik: oslozhnenija i lechenie (klinicheskij sluchaj) [Myocardial muscle bridge: complications and treatment (clinical case)]. Sibirskij medicinskij zhurnal. 2014;29(3):98-101. Russian. https://doi.org/10.29001/2073-8552-2014-29-3-98-101

2. Dechko SV. Miokardial’nye mostiki koronarnyh arterij. 10-ja shkola kardiologa: sbornik nauchnyh trudov Respublikanskoj nauchno-prakticheskoj konferencii s mezhdunarodnym uchastiem. Minsk: Ministerstvo zdravoohranenija Respubliki Belarus; 2015. p 77-82. Russian.

3. Efremova OA, Kurbanov SK, Magomedov AA, Bobyleva IJu. Miokardial’nyj mostik, kak sluchajnaja nahodka u bol’noj s gipertroficheskoj kardiomiopatiej. Nauchnye vedomosti. Serija medicina. Farmacija. 2014;18:238-242. Russian.

4. Korotaev DA. Miokardial’nye mostiki: sovremennoe sostojanie problemy. Patologija krovoobrashhenija i kardiohirurgija. 2012;1:85-89. Russian.

5. Kravchenko AM, Malaeva EG, Cyrul’nikova AN, Hudjakov IA, Dmitrienko AA. Miokardial’nyj mostik koronarnoj arterii. Problemy zdorov’ja i jekologii. 2017;1(51):108-113. Russian.

6. Mazur NA. Faktory riska vnezapnoj kardial’noj smerti u bol’nyh molodogo vozrasta i mery po profilaktike. Russkij medicinskij zhurnal. 2003;11(19):1077-1079. Russian.

7. Maklygin VA, Mahlis AV, Mezencev АА. Sluchaj vnezapnoj smerti podrostka, obuslovlennoj anomaliej raspolozhenija venechnoj arterii («nyrjajushhaja» venechnaja arterija). Sudebno-medicinskij zhurnal. 2010. Available from: http://journal.forens-lit. ru/node/93. Russian.

8. Starodubov OD, Efremova ОА. Miokardial’nye myshechnye mostiki: patofiziologicheskie osobennosti i kliniko-morfologicheskie priznaki. Nauchnye vedomosti. Serija Medicina. Farmacija. 2016;12(233):15-21. Russian.

9. Shljahover V, Berman M, Manevich I, Dzhafri D, Rejzin L. Obmorok, zheludochkovaja tahikardija, miokardial’nye «mostiki». Defibrilljator? Aortokoronarnoe shuntirovanie? Ili nichego? MedicusAmicus. 2005;2. Russian.

10. Silvanto A, Noronha SV, Sheppard MN. Myocardial infarction with normal coronaries: an autopsy perspective. Journal of Clinical Pathology. 2012;65(6):512-516. https://doi.org/10.1136/jclinpath-2011-200597
https://doi.org/10.1136/jclinpath-2011-200597

11. Schwarz ER, Klues HG, Dahl J, Klein I, Krebs W, Hanrath P. Functional, angiographic and intracoronary doppler flow characteristics in symptomatic patients with myocardial bridging: Effect of short-term intravenous beta-blocker medication. Journal of the American College of Cardiology. 1996;27(7):1637-1645. https://doi.org/10.1016/0735-1097(96)00062-9
https://doi.org/10.1016/0735-1097(96)00062-9

12. Tarantini G, Cademartiri F. Myocardial bridging and prognosis: more evidence but jury still out. European Heart Journal – Cardiovascular Imaging. 2013;14(6):515-517. https://doi.org/10.1093/ehjci/jet021
https://doi.org/10.1093/ehjci/jet021

13. Reyman HC. Disertatio de vasis cordis propriis [dissertation]. [Gottingen]: Med Diss Univ; 1737. 359-379 p.

14. Bockeria LA, Bockeria OL, Mozhina AA, Tetvadze IV. Anatomy and morphological characteristics of myocardial bridges. International Journal of Cardiology. 2010;140:S10. https://doi.org/10.1016/s0167-5273(10)70036-x
https://doi.org/10.1016/S0167-5273(10)70036-X