Is myocardial bridge life threatening? Is myocardial bridging dangerous? How is it treated?

Preface: The heart is the most important organ in the body, it gives blood to each organ, so the health of the heart is very important. Myocardial bridging is a disease of the heart, and when people develop myocardial bridging, there are many symptoms.

Generally speaking, myocardial bridges are not life-threatening, and you should not worry too much and worry, but you must pay enough attention to them after suffering from myocardial bridges. <>

Myocardial bridging is a benign physiological variant, and generally speaking, there are no serious consequences, so it is not life-threatening, and most patients do not need to go through**. However, if the symptoms of Xinxiqiao are very severe, such as chest tightness and chest pain, the patient needs to go to the hospital for examination in time. The ** of myocardial bridging ** is mainly medication ** and surgery **.

Drugs are beta blockers and calcium antagonists, and surgery is myocardial resection, coronary artery release, and cardiac catheterization of coronary artery stenting. <>

Although myocardial bridges are generally not life-threatening, they can be dangerous if they are compressed for a long time. Therefore, when people find out that they have myocardial bridge, they should go to the hospital for examination in time to understand their condition and physical health, and if necessary, they must do it. Everyone should pay enough attention to their physical condition, and don't think that their body is very strong and can withstand any disease.

The heart is the most important part of the human body, and you must take good care of your heart in your daily life. Pay more attention to not overwork, pay attention to rest, and develop a good attitude in ordinary times, and don't be too anxious in case of trouble. Doing some physical exercise in your life is very good for your physical health.

If you have myocardial bridge, you should consult a doctor to protect your heart.

Myocardial bridge is congenitally formed, for patients who have been diagnosed, as long as they adhere to the ** and control it well, the ** rate is very high, so patients should not worry too much. Myocardial bridging is a common heart disease that does not cause serious consequences and does not require special ** if symptoms do not appear. For patients with obvious symptoms, such as chest tightness and chest pain, it is necessary to pay close attention to it, and if necessary, it needs to be carried out**, and the common ** methods include drugs and surgery.

It is life-threatening, because it mainly occurs in the heart area, and if this condition is not relieved, and there is a great risk, it may end up harming our lives.

There must be a danger to life, if you don't get a good ** in life, or if you don't have a very good schedule, then you may pay for your life.

Of course, there is a danger, this situation can easily lead to heart failure, leading to sudden death, and the danger is very great.

Pay enough attention. Although myocardial bridges are generally not life-threatening, they cover the coronary arteries and are generally not life-threatening.

The degree of risk of myocardial bridging is mainly related to the location of compression and narrowing of the coronary arteries when the myocardium contracts. And this protective effect is absent either proximal or distal to the myocardial bridge, which is very small for life because it further aggravates the condition. The surgical risk of myocardial bridge surgery is not very high, and it needs to be taken seriously.

It is definitely life-threatening, and it should be taken very seriously. Generally, there is no danger to life. It is life-threatening in the thin layer of myocardium.

In addition to clinical symptoms and corresponding ECG changes, the diagnosis of myocardial bridge still relies on coronary angiography and intracoronary Doppler and ultrasonography, resulting in the continuous appearance of some symptoms, so the contraction of myocardial bridge will squeeze the coronary arteries to varying degrees.

Coronary myocardial bridge is a congenital abnormal development of coronary arteries, in the process of coronary artery development, a certain segment of the coronary artery or its branches can be covered by the superficial myocardium, running in the myocardium, the coronary artery segment covered by the myocardium is called the wall coronary artery, and the myocardium covering the coronary artery is called the myocardial bridge.

Myocardial bridging may be associated with local factors in the pathogenesis of coronary heart disease and may also cause myocardial ischemia. This section of the coronary artery, which is covered by the myocardial bridge during contraction, is compressed and systolic stenosis occurs, while when the heart is diastolic, the coronary artery compression is relieved and the coronary artery stenosis is relieved.

Most myocardial bridges do not cause clinical symptoms, and patients with myocardial bridges generally do not develop symptoms of myocardial ischemia until after middle age. The main symptoms are: angina, acute myocardial infarction; atrioventricular block; Heart failure; Sudden death, etc.

And the clinical manifestations are closely related to the classification. The superficial type has little impact on coronary blood flow due to the thin and short myocardial bridge, and most of them can have no symptoms of myocardial ischemia and corresponding ECG changes; The deep type has a large impact on coronary blood flow due to the thick and long myocardial bridge, resulting in angina pectoris, and ST-T changes of myocardial ischemia on electrocardiogram. If myocardial bridging is complicated by thrombosis or plaque detachment secondary to coronary atherosclerosis, clinical symptoms of myocardial infarction and corresponding ECG changes may occur.

Myocardial ischemia is more likely to occur in patients with myocardial bridging and tachyarrhythmias.

It is recommended that since the myocardial bridge is found, the patient's symptoms can be observed, and the patient can see a doctor at any time if he is unwell

Hello! The coronary arteries (coronary arteries) and their branches, which usually run in the subepicardial adipose tissue. Myocardial bridge refers to the coronary arteries.

A segment or a segment of its branches runs in a myocardial fiber and is covered by a bridge-like myocardial fiber.

The bundle is called a myocardial bridge. Because it runs in the fibrous fibers of the heart, the heart will inevitably compress the coronary arteries when it contracts, so myocardial ischemia may sometimes appear similar to angina.

Myocardial bridging was previously thought to be a harmless clinical variant, but recent studies of angiography combined with intravascular ultrasound have demonstrated that myocardial bridging vascular compression does not occur entirely in systole but persists into diastole, thereby reducing coronary blood flow reserve [5], and thus myocardial bridging can cause myocardial ischemia, particularly in patients with severe hemodynamic disorders. The degree of risk of myocardial bridging is mainly related to the compression of the coronary artery and the degree of coarctation during myocardial contraction, the more the main branch with a large blood supply area is compressed and the more obvious the coarctation after compression, the more obvious the symptoms and the higher the degree of risk. Myocardial bridges are most common in the left anterior descending artery, and there have been literature reports of myocardial bridges causing clinical cardiovascular events.

If there are no symptoms, drugs can be disregarded and followed up, and if symptoms are obvious, they can be considered:1 Drugs**: Receptor blockers can reduce circulatory and intracoronary pressure, reduce vascular compression, and prolong diastole due to their negative conduction effect, and also improve coronary perfusion; 2 Myocardial bridging resection or coronary release:

Most people consider surgery to be effective in patients who are treated with drugs but have persistent ischemic symptoms. However, it is also considered that the procedure is quite risky, mainly because the coronary myocardial bridge is unpredictable, and sometimes it is necessary to cut the ventricular wall deeply, which may lead to the subsequent development of left ventricular aneurysm; 3 Intracoronary stenting: Recent studies have shown that intracoronary stenting in symptomatic myocardial bridge patients can alleviate angina symptoms, and can be used as an important means for patients with persistent, severe angina and the efficacy of receptor blockers is not good.

Normal coronary arteries run under the epicardium, but sometimes a section of coronary artery enters the heart muscle, so every time the heart contracts, that section of the coronary artery will be compressed by the heart muscle, causing a temporary interruption of blood flow, which is the myocardial bridge. Myocardial bridging is also a type of heart disease, and the impact of myocardial bridging can be judged according to the proportion of coronary arteries walking in the myocardium, and generally speaking, there is no big problem. Most myocardial bridges may not be clinically significant, but may have been present in the body for a long time.

Of course, a small number of cases can also cause local intimal damage mainly due to the impact of blood flow, which further leads to vascular problems, and may have corresponding symptoms. Myocardial bridging causes stenosis, and even rarely, can lead to myocardial infarction. Myocardial bridges can be ignored if there are no symptoms, and if there are symptoms, receptor blockers, such as betalux, can be used to slow the heart rate and reduce myocardial oxygen consumption.

If the myocardium that compresses the coronary artery is surgically separated or the compressed myocardium is relatively large, coronary artery bypass grafting, that is, heart bypass, can be performed. In the case of heart disease such as myocardial bridge, because the coronary artery is the blood vessel that nourishes the heart muscle, in order to avoid accidents, you should maintain good work and rest habits and eating habits, moderate light exercise but not strenuous exercise. The above content is an introduction to whether the myocardial bridge is a heart disease-related issue, I believe that after reading it, you have a certain understanding of whether the myocardial bridge is a heart disease, I hope it can be helpful to you.

Hello, question about myocardial bridge**, the answer is as follows:

1. If the myocardial bridge is not serious, there is no obvious discomfort in daily activities, surgery is not advocated, because the operation is traumatic, it is recommended to reduce the patient's psychological burden, overcome the patient's nervousness, and then add a small dose of "betalux".

2. If the symptoms of chest tightness and angina pectoris are reversed, and the above methods are ineffective, it is recommended to undergo "myocardial bridge resection", and "bypass surgery" is not used as much as possible. Because myocardial bridging resection is less invasive, there is almost no damage to coronary blood vessels, and the long-term effect is better than that of bypass surgery.

I hope you find the above reply helpful.

Repeated chest tightness, check out that it is myocardial bridge, is this disease serious?

I partially agree with Dr. Tian Zhenyu upstairs.

To add that, if symptoms are not obvious, you can choose oral medications, such as receptor blockers, of which betalux is one, calcium antagonists (such as nifedipine), and avoid nitrates.

The surgery is performed by muscle bridge release, and bypass is generally not chosen.

Causes.

Myocardial bridging is a common congenital anatomical malformation. **The intramyocardial segment of the coronary artery, especially the intramyocardial segment of the left anterior descending artery, can be squeezed during systole, and the symptoms of myocardial ischemia often appear after middle age.

How to prevent cardiomyopathy.

a). Symptomatic myocardial bridges and atherosclerotic plaques at myocardial bridges may be treated with drugs or surgery**.

1.Medications** Angina pectoris caused by compression of the coronary arteries of the systolic wall, may be effective against - receptor blockers and calcium antagonists such as verapamil (isopulsadine) and diltiazem.

2.Surgery** Surgery should be performed if the drug is difficult to control**. There are two types of surgery, namely myocardial graft resection and coronary artery bypass grafting.

1) Myocardial bridge resection: suitable for superficial type, find the myocardial bridge under general anesthesia at room temperature, resect it, completely relieve the compression of the coronary artery, and restore its distal blood flow. Simple myocardial bridge resection is rare and is often performed at the same time as coronary artery bypass grafting.

2) Coronary artery bypass grafting: suitable for patients with deep or arteriosclerotic stenosis. Coronary artery bypass grafting can be performed under general anesthesia at room temperature, cardiobypass at room temperature, or at low temperature cardiopulmonary bypass. The graft material can be used in the autologous saphenous vein or the internal mammary artery.

ii) Prognosis. Myocardial bridges generally have a good prognosis, and about 12% of patients without coronary atherosclerosis have angina symptoms, and occasionally cause acute myocardial infarction, ventricular tachycardia or sudden death after exercise have been reported, so myobridges are not necessarily benign. Angina pectoris due to systolic wall coronary artery compression may be effective with receptor blockers and calcium antagonists such as verapamil and diltiazem, and if medications** are ineffective, simple surgery with myobridge removal of the mural coronary artery or implantation of a stent in the mural coronary artery may be considered to relieve symptoms. If there is atherosclerotic stenosis lesion in the coronary artery proximal to the muscle bridge, the potential risk of thrombosis in the wall coronary artery should be noted for percutaneous transluminal balloon dilation.

Analysis:

Hello, from your description, myocardial bridging, causing chest tightness symptoms, consult related questions, in this case it is a congenital disease of the heart muscle that causes chest tightness symptoms.

Guidance: 1 Hello, pay attention to myocardial bridge is a very common cause of chest tightness and chest pain, one of the blood vessels and myocardial tissue, causing the blood vessels to compress during the activity of chest tightness and discomfort symptoms, the type of typical myocardial ischemia manifestations, 2 whether this lesion is long-term ** is to see the symptoms, at the same time in life to pay attention to avoid overwork, causing myocardial ischemia aggravation, if there is a problem, consult in time, I wish you health. 、