Angiographic Prevalence of Myocardial Bridging in Our Department

Oylumlu, Muhammed; Doğan, Adnan; Astarcıoğlu, Mehmet Ali; Karamanlıoğlu, Murat; Özgeyik, Mehmet; Kılıt, Celal; Sen, Taner Z.; Amasyalı, Basri

doi:10.4274/khj.64936

Cited by 5 publications

(4 citation statements)

References 23 publications

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“…Other factors that may affect the incidence of MB are the size and ethnicity of the study population. The incidence of MB was found to be around 1% in FACCA studies performed in Turkish populations similar in size to the current study [ 16 , 17 ]. In the current study, MB incidences of patients who underwent RACA and FACCA with similar baseline characteristics except for their clinical presentation were compared.…”

Section: Discussionsupporting

confidence: 83%

Is myocardial bridge more frequently detected on radial access coronary angiography?

Şenöz

Emren

2021

BMC Cardiovasc Disord

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Background Although the incidence of myocardial bridge (MB) has been defined in different femoral access conventional coronary angiography (FACCA) studies, the frequency of MB on radial access coronary angiography (RACA) is unknown. The aim of this study was to determine the difference in the incidence of MB between patients undergoing RACA and FACCA. Method A total of 2500 consecutive patients who underwent RACA and a total of 1455 consecutive patients who underwent FACCA were retrospectively investigated to detect the presence of MB. The incidences of the groups were calculated separately and compared. The clinical and angiographic features of the patients with MB were analyzed. Results MB was detected at an incidence of 10.2%, in 255/2500 patients who underwent RACA, and 1.8% in 27/1455 patients who underwent FACCA (p < 0.001). In both RACA and FACCA patients, the most involved coronary artery was the left anterior descending artery (LAD) (86.9% and 93.1%) and the mid-segment (84.9% and 88.9%) was the most affected section. Co-involvement of multiple coronary arteries by MB was 7.8% in patients who underwent RACA and 7.4% in patients who underwent FACCA. Coronary artery disease (CAD) was determined in 111 (35.7%) of the coronary arteries with MB, of which 81.9% were proximal to the MB. No significant CAD was detected in any of the vessels of 69.8% (178/255) of the patients who underwent RACA for different clinical indications. Conclusion These data demonstrated that the incidence of myocardial bridge able to be detected on RACA was much higher than FACCA.

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Section: Discussionsupporting

confidence: 83%

Is myocardial bridge more frequently detected on radial access coronary angiography?

Şenöz

Emren

2021

BMC Cardiovasc Disord

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“…In a study conducted in the Central Anatolia region of our country, the frequency of MB was found to be 0.94% (16). In a similar study conducted in the Eastern Anatolia region, it was found to be 1.1% (17). In a coronary angiography study in which twenty-five thousand nine hundred and eighty-two patients were retrospectively analyzed, MB was detected in a total of 316 patients, and its prevalence was found to be 1.22% in this study (18).…”

Section: Resultssupporting

confidence: 52%

Yeni Açılan Kalp Merkezinin Koroner Anjiyografi Sonuçları

Akgümüş

2023

HTD

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Introduction: Bandırma and the surrounding districts are in a geographical location with a dynamic population and a large number of immigrants due to university, industry, agriculture and trade. In this context, the coronary artery disease profile can be evaluated as a reflection of the country in general. In this study, it was aimed to determine the coronary artery disease profile of patients who underwent coronary angiography in Bandırma Training and Research Hospital, a new heart center, and the region where the hospital is located. Materials and Methods: Patients who underwent coronary angiography after the establishment of the heart center in Bandırma Training and Research Hospital were included in the study. The patients' age, gender, diagnosis, which treatment decision was made as a result of coronary angiography, stent restenosis, graft patency and coronary artery anomalies were evaluated. Results: The number of patients who underwent coronary angiography was 3238 and 1079 unstable angina pectoris, 959 stable angina pectoris, 573 non-ST elevation myocardial infarction, 325 inferior myocardial infarction, 258 anterior myocardial infarction, 37 posterior myocardial infarction, 7 lateral myocardial infarction was diagnosed. The mean age of the patients was 62±12 years, and the mean age of angiography in females was 4 years longer than males. It was observed that medical treatment was given to 1209 patients, percutaneous coronary intervention to 1630 patients, and bypass surgery to 399 patients. Conclusion: The coronary artery disease profile of Bandırma and the surrounding districts reflects the coronary artery disease profile of the country in general.

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“…21 In studies conducted in Turkish population higher than the size of the current study, the prevalence of MB was reported to be approximately 1%. [21][22][23] Moreover, provocative tests by nitroglycerin and diltiazem might increase the detection rate of MB. 17, 21 Other factors that may affect the variations in the reported prevalence of MBs are the depths of the bridging segment.…”

Section: Discussionmentioning

confidence: 99%

The diagnostic accuracy of coronary angiography to detect left anterior descending artery myocardial bridging in coronary artery bypass grafting: a retrospective single-center study

ALAGHA

2023

Anatolian Current Medical Journal

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Aims: The left anterior descending artery is the most involved vessel in the myocardial bridging of the coronary arteries. Revascularization of the left anterior descending artery (LAD) is considered an essential component of coronary artery bypass grafting (CABG) procedures. This study aims to evaluate the correlation between angiographic views of the coronary artery and intraoperative findings of the left anterior descending artery myocardial bridge (LADMB). Methods: The records of patients who underwent the CABG procedure between January 2015 and October 2022 were reviewed retrospectively. A total of 349 patients who had LADMB on coronary angiography (CAG) images and/or intraoperatively were evaluated. Patients were divided into two groups. The CAG group (n=50) consisted of patients with angiographic LADMB, and the CABG group (n=40) consisted of patients with LADMB that was detected intraoperatively. The correlation between myocardial bridge signs of the LAD in CAG and intraoperative observations was investigated. Results: In the coronary angiography group, 50 patients had signs of depression on coronary angiography, of whom 35 had LADMB intraoperatively. In the CABG group, 40 patients were found to have a myocardial bridge intraoperatively, and 5 had normal CAG images. The prevalence of LADMB was 11.5%. The sensitivity of CAG was 87.5%, the specificity was 95.15%, the positive predictive value was 70%, and the negative predictive value was 98.32%. Conclusion: The myocardial bridge signs of the LAD on CAG correlate with intraoperative observations with high sensitivity and specificity.

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Angiographic Prevalence of Myocardial Bridging in Our Department

Cited by 5 publications

References 23 publications

Is myocardial bridge more frequently detected on radial access coronary angiography?

Is myocardial bridge more frequently detected on radial access coronary angiography?

Yeni Açılan Kalp Merkezinin Koroner Anjiyografi Sonuçları

The diagnostic accuracy of coronary angiography to detect left anterior descending artery myocardial bridging in coronary artery bypass grafting: a retrospective single-center study

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