FREQUENCY AND ASSOCIATION OF MYOCARDIAL BRIDGING WITH ATHEROSCLEROTIC CORONARY ARTERY DISEASE IN PATIENTS UNDERGOING CORONARY ANGIOGRAPHY

Objective: To evaluate frequency and association of myocardial bridging with atherosclerotic coronary artery disease in patients undergoing coronary angiography. Study Design: Cross sectional analytical study. Place and Duration of Study: Department of cardiology, PIMS Islamabad, from Feb to A...

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Autores principales: Fahad Shah, Abid Sharif, Nisar Ahmed, Fatima Abid, Amer Fakhr
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Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2019
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spelling oai:doaj.org-article:aa5dbb7950f84a51898d10f5aee8df162021-11-11T03:25:39ZFREQUENCY AND ASSOCIATION OF MYOCARDIAL BRIDGING WITH ATHEROSCLEROTIC CORONARY ARTERY DISEASE IN PATIENTS UNDERGOING CORONARY ANGIOGRAPHY0030-96482411-8842https://doaj.org/article/aa5dbb7950f84a51898d10f5aee8df162019-08-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3197/2306https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To evaluate frequency and association of myocardial bridging with atherosclerotic coronary artery disease in patients undergoing coronary angiography. Study Design: Cross sectional analytical study. Place and Duration of Study: Department of cardiology, PIMS Islamabad, from Feb to Aug 2014. Material and Methods: A total of 320 patients were selected for the study. Patients undergoing coronary angiography to determine the frequency of myocardial bridging and its relationship to atherosclerotic coronary artery disease. The angiography was done according to standard protocol. Myocardial bridges were seen by expert interventional cardiologist and degree of coronary artery narrowing proximal and distal to bridging was noted. Results: The mean age of the patients was 60.35 ± 9.18 years and there were 205 (64.1%) male patients in the study. In the study 50 (15.6%) patients were diagnosed with myocardial bridging and in all these patients mid left anterior descending artery segment was found to be involved in myocardial bridging. Only 23 (7.19%) patients had atherosclerotic CAD and 21 (6.56%) patients had proximal and 2 (0.63%) patients had segment distal involved in atherosclerotic CAD. Out of 50 patients with myocardial bridging 23 (46%) patients had significant atherosclerotic CAD (p<0.001). In almost all cases, atherosclerotic CAD was observed proximal to bridge segment (91.3%). Conclusions: There was significant association between myocardial bridging and atherosclerotic coronary artery disease proximal to bridge segment and it might be an independent risk factor for atherosclerosis proximal to bridge segment.Fahad ShahAbid SharifNisar AhmedFatima AbidAmer FakhrArmy Medical College Rawalpindiarticlecoronary atherosclerosiscoronary angiographyMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 4, Pp 768-773 (2019)
institution DOAJ
collection DOAJ
language EN
topic coronary atherosclerosis
coronary angiography
Medicine
R
Medicine (General)
R5-920
spellingShingle coronary atherosclerosis
coronary angiography
Medicine
R
Medicine (General)
R5-920
Fahad Shah
Abid Sharif
Nisar Ahmed
Fatima Abid
Amer Fakhr
FREQUENCY AND ASSOCIATION OF MYOCARDIAL BRIDGING WITH ATHEROSCLEROTIC CORONARY ARTERY DISEASE IN PATIENTS UNDERGOING CORONARY ANGIOGRAPHY
description Objective: To evaluate frequency and association of myocardial bridging with atherosclerotic coronary artery disease in patients undergoing coronary angiography. Study Design: Cross sectional analytical study. Place and Duration of Study: Department of cardiology, PIMS Islamabad, from Feb to Aug 2014. Material and Methods: A total of 320 patients were selected for the study. Patients undergoing coronary angiography to determine the frequency of myocardial bridging and its relationship to atherosclerotic coronary artery disease. The angiography was done according to standard protocol. Myocardial bridges were seen by expert interventional cardiologist and degree of coronary artery narrowing proximal and distal to bridging was noted. Results: The mean age of the patients was 60.35 ± 9.18 years and there were 205 (64.1%) male patients in the study. In the study 50 (15.6%) patients were diagnosed with myocardial bridging and in all these patients mid left anterior descending artery segment was found to be involved in myocardial bridging. Only 23 (7.19%) patients had atherosclerotic CAD and 21 (6.56%) patients had proximal and 2 (0.63%) patients had segment distal involved in atherosclerotic CAD. Out of 50 patients with myocardial bridging 23 (46%) patients had significant atherosclerotic CAD (p<0.001). In almost all cases, atherosclerotic CAD was observed proximal to bridge segment (91.3%). Conclusions: There was significant association between myocardial bridging and atherosclerotic coronary artery disease proximal to bridge segment and it might be an independent risk factor for atherosclerosis proximal to bridge segment.
format article
author Fahad Shah
Abid Sharif
Nisar Ahmed
Fatima Abid
Amer Fakhr
author_facet Fahad Shah
Abid Sharif
Nisar Ahmed
Fatima Abid
Amer Fakhr
author_sort Fahad Shah
title FREQUENCY AND ASSOCIATION OF MYOCARDIAL BRIDGING WITH ATHEROSCLEROTIC CORONARY ARTERY DISEASE IN PATIENTS UNDERGOING CORONARY ANGIOGRAPHY
title_short FREQUENCY AND ASSOCIATION OF MYOCARDIAL BRIDGING WITH ATHEROSCLEROTIC CORONARY ARTERY DISEASE IN PATIENTS UNDERGOING CORONARY ANGIOGRAPHY
title_full FREQUENCY AND ASSOCIATION OF MYOCARDIAL BRIDGING WITH ATHEROSCLEROTIC CORONARY ARTERY DISEASE IN PATIENTS UNDERGOING CORONARY ANGIOGRAPHY
title_fullStr FREQUENCY AND ASSOCIATION OF MYOCARDIAL BRIDGING WITH ATHEROSCLEROTIC CORONARY ARTERY DISEASE IN PATIENTS UNDERGOING CORONARY ANGIOGRAPHY
title_full_unstemmed FREQUENCY AND ASSOCIATION OF MYOCARDIAL BRIDGING WITH ATHEROSCLEROTIC CORONARY ARTERY DISEASE IN PATIENTS UNDERGOING CORONARY ANGIOGRAPHY
title_sort frequency and association of myocardial bridging with atherosclerotic coronary artery disease in patients undergoing coronary angiography
publisher Army Medical College Rawalpindi
publishDate 2019
url https://doaj.org/article/aa5dbb7950f84a51898d10f5aee8df16
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