СLINICAL CASE OF PATIENT WITH MYOCARDIAL «BRIDGE» OR WHAT CAN BE HIDDEN BEHIND A TYPICAL CLINIC OF ANGINA PECTORIS
Abstract
The article presents a clinical case, when the myocardial bridge was manifested with symptoms typical for angina pectoris. It is also emphasized the importance of carrying out of coronary angiography for such patients, and the effectiveness of stenting in cases of hemodynamically significant muscle bridges is noted.
The presented clinical case shows that MB should be taken into account in differential diagnosis in patients with symptoms of angina pectoris. Before coronary angiography was conducted (in presented patient), MB was hidden behind the typical for angina pectoris symptoms (including positive results during stress test). In addition, coronary angiography shown the localization and hemodynamic significance of the myocardial «bridge» and changed the treatment tactic from drug therapy to the stenting. The negative treadmill test and no clinical manifestations of angina pectoris after stenting confirm correctness of the chosen treatment strategy.
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