FFR and IVUS in Myocardial Bridging
Invited Experts' Case Presentation and 5-Slides Focus Review
FFR and IVUS in Myocardial Bridging
Haegeun, Song. M.D.
Heart Institute, Asan Medical Center, Seoul, Korea
Myocardial Bridging
? Common congenital coronary anomaly
: segment of a major epicardial coronary artery runs intramurally.
: systolic narrowing, delayed diastolic relaxation?Induce ischemic heart disease.
? Frequency varies from 0.5 - 33% by
Coronary angiography.
: In autopsy series : 15-85 %
Myocardial Bridging
? Clinical relevance is debated
: Harmless normal variant, but may cause angina, MI, life-threatening arrhythmia and even sudden cardiac death.
: No study for long term clinical prognosis of MB.
CASE 1.
? 62/F ? Typical effort chest pain
? Thallium SPECT:
Normal myocardial perfusion
? Treadmill test :
Positive ( at stage 4)
CASE 1.
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