[1]史轶群?刘健.心电图在冠状动脉心肌桥相关疾病诊断中的应用进展[J].心血管病学进展,2025,(9):769.[doi:10.16806/j.cnki.issn.1004-3934.2024.09.001]
　SHI Yiqun,LIU Jian.Diagnosis of Coronary Artery Myocardial Bridge by Electrocardiogram[J].Advances in Cardiovascular Diseases,2025,(9):769.[doi:10.16806/j.cnki.issn.1004-3934.2024.09.001]
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心电图在冠状动脉心肌桥相关疾病诊断中的应用进展()

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2025年9期
页码:
769
栏目:
综述
出版日期:
2025-09-25

文章信息/Info

Title:
Diagnosis of Coronary Artery Myocardial Bridge by Electrocardiogram
作者:
史轶群?刘健
(北京大学人民医院心内科,北京 100044)
Author(s):
SHI Yiqun; LIU Jian
(Department of CardiologyPeking University People?s HospitalBeijing 100044China)
关键词:
心电图; 心肌桥; 冠状动脉; 新型标志物
Keywords:
Electrocardiogram;  Myocardial bridge;  Coronary artery;  New markers
DOI:
10.16806/j.cnki.issn.1004-3934.2024.09.001
摘要:
心肌桥(MB)是一种常见的先天冠状动脉变异，通常表现为良性，但近期研究发现MB也可能与心肌缺血、心律失常、左心室肥厚、应激性心肌病有关，甚至可能与急性冠状动脉综合征、心搏骤停、心室颤动等多种不良事件有关。心电图(ECG)作为快速且廉价的心脏评价手段，在MB及其相关疾病的检测中取得长足进步。现综述ECG与ECG新型标志物在MB及其相关心血管疾病诊断中的研究进展，并对当前研究的困难与未来发展的方向做一分析。
Abstract:
It is generally believed that myocardial bridging (MB) is a congenital benign coronary artery anomaly. However ,it seems that MB can lead to various symptoms or diseases such as myocardial ischemia,arrhythmia,left ventricular hypertrophy,stress-induced cardiomyopathy,and even adverse cardiac events such as acute coronary syndrome,cardiac arrest,and ventricular fibrillation according to recent studies . As a rapid and inexpensive detection method,electrocardiogram (ECG) has made significant progress in the detection of MB and its related diseases. This paper reviews the research progress of ECG and new ECG markers in the diagnosis of MB and its related cardiovascular diseases,and analyzes the difficulties of the current research and the future development direction..

参考文献/References:

[1] Murtaza G,Mukherjee D,Gharacholou SM,et al. An updated review on myocardial bridging[J]. Cardiovasc Revasc Med,2020,21(9):1169-1179.

[2] Siciliano M,Migliore F,Piovesana P. Stress echocardiography pattern:a promising noninvasive test for detection of myocardial bridging with haemodynamic relevance[J].J Cardiovasc Med (Hagerstown),2016,17(suppl 2):e208-e209.

[3] Yu M,Zhou L,Chen T,et al. Myocardia ischemia associated with a myocardial bridge with no significant atherosclerotic stenosis[J]. BMC Cardiovasc Disord,2015,15:165.

[4] Avram A,Chioncel V,Guberna S,et al. Myocardial bridging—An unusual cause of Wellens syndrome:a case report[J]. Medicine (Baltimore),2020,99(41):e22491.

[5] Argyrioub M,Filippatosa GS,Antonellisc J,et al. Myocardial infarction and ventricular septal rupture caused by myocardial bridging[J]. Eur J Cardiothorac Surg,2004,25(4):643．

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更新日期/Last Update: 2025-12-18