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Correlation between Depth of Myocardial Bridging and Coronary Angiography Findings
Background: Myocardial bridging (MB) is a congenital anomaly in which a segment of coronary artery is surrounded by myocardium. Purpose: To investigate the correlation between muscle thickness over the tunneled coronary artery (depth) in MB and the presence of milking effect (ME) and systolic narrow...
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| Published in: | Acta radiologica (1987) 2008-10, Vol.49 (8), p.883-888 |
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| container_title | Acta radiologica (1987) |
| container_volume | 49 |
| creator | Elmali, M. Soylu, K. Gulel, O. Bayrak, I. K. Koprulu, D. Diren, H. B. Celenk, C. |
| description | Background: Myocardial bridging (MB) is a congenital anomaly in which a segment of coronary artery is surrounded by myocardium.
Purpose: To investigate the correlation between muscle thickness over the tunneled coronary artery (depth) in MB and the presence of milking effect (ME) and systolic narrowing ratio in catheter angiography (CA).
Material and Methods: The records of 36 patients who underwent a coronary computed tomography angiography (CTA) and following CA examination for suspicious ischemic coronary artery disease, between March 2005 and September 2007, were retrospectively evaluated. According to the depth of MB on CTA, patients were grouped into four groups: group 1, |
| doi_str_mv | 10.1080/02841850802282837 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69552069</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1080_02841850802282837</sage_id><sourcerecordid>69552069</sourcerecordid><originalsourceid>FETCH-LOGICAL-c486t-63734b5dc597cdcc4855ba75e2d4d83301e5e9c4b4c32c93e6133c4fe4a3793</originalsourceid><addsrcrecordid>eNqNkc1OGzEURi1U1KTQB2CDvCm7Af_OeNRVGgpFCkKi3Y889p2Jo4kd7ImqvD2OEsGiEurKln3OvdefEbqg5JoSRW4IU4IqmbeMKaZ4dYKmtCSkIELKT2i6vy8yQCfoS0orQiirJP2MJlSVkjLJp-h5HmKEQY8ueNzC-BfA41vYjEscOvy4C0ZH6_SAf0Rne-d7rL3FWQpexx2e-d6FPurNcofvnLcZSOfotNNDgq_H9Qz9vvv5Z_6rWDzdP8xni8IIVY5FySsuWmmNrCtjTT6UstWVBGaFVZwTChJqI1phODM1h5JybkQHQvOq5mfo6lB1E8PLFtLYrF0yMAzaQ9impqylZKTcg_QAmhhSitA1m-jWefiGkmYfY_NPjNm5PBbftmuw78Yxtwx8OwI6GT10UXvj0huXG6sqvydz1wcu6R6aVdhGnyP5sPP3g-B8F-JaL0EP4zJ_wn_ZrwTzmYo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69552069</pqid></control><display><type>article</type><title>Correlation between Depth of Myocardial Bridging and Coronary Angiography Findings</title><source>SAGE</source><creator>Elmali, M. ; Soylu, K. ; Gulel, O. ; Bayrak, I. K. ; Koprulu, D. ; Diren, H. B. ; Celenk, C.</creator><creatorcontrib>Elmali, M. ; Soylu, K. ; Gulel, O. ; Bayrak, I. K. ; Koprulu, D. ; Diren, H. B. ; Celenk, C.</creatorcontrib><description>Background: Myocardial bridging (MB) is a congenital anomaly in which a segment of coronary artery is surrounded by myocardium.
Purpose: To investigate the correlation between muscle thickness over the tunneled coronary artery (depth) in MB and the presence of milking effect (ME) and systolic narrowing ratio in catheter angiography (CA).
Material and Methods: The records of 36 patients who underwent a coronary computed tomography angiography (CTA) and following CA examination for suspicious ischemic coronary artery disease, between March 2005 and September 2007, were retrospectively evaluated. According to the depth of MB on CTA, patients were grouped into four groups: group 1, <1 mm; group 2, 1- <2 mm; group 3, 2- <4 mm; group 4, ≥4 mm. The presence of milking effect, systolic narrowing ratio, and atherosclerotic stenosis at CA were recorded. CTA and CA results were then compared to evaluate the correlation.
Results: In total, ME was found in 15 arteries at CA (42%). There was no ME in group 1; it was present in 11% of group 2, 67% of group 3, and 100% of group 4. Starting from group 3, the percentage of likelihood of seeing the milking effect was 77%, and the percentage of systolic narrowing was between 30 and 70%. There was a significant correlation between depth of MB and systolic narrowing (P<0.01), while no significant correlation between length of MB and systolic narrowing was found (P=0.32). In seven of the 36 patients (group 1, 0; group 2, 1; group 3, 3; group 4, 3), clinical findings were related to pure MB.
Conclusion: The depth of MB is positively related to coronary narrowing and clinical ischemic findings.</description><identifier>ISSN: 0284-1851</identifier><identifier>EISSN: 1600-0455</identifier><identifier>DOI: 10.1080/02841850802282837</identifier><identifier>PMID: 18651253</identifier><identifier>CODEN: ACRAE3</identifier><language>eng</language><publisher>London, England: Informa UK Ltd</publisher><subject>Adult ; Aged ; Angina Pectoris - etiology ; Biological and medical sciences ; Cardiovascular system ; Coronary Angiography - methods ; Coronary Artery Disease - diagnosis ; Coronary Artery Disease - etiology ; Electrocardiography - methods ; Female ; Humans ; Imaging, Three-Dimensional ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Myocardial Bridging - complications ; Myocardial Bridging - diagnosis ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Retrospective Studies ; Severity of Illness Index ; Tomography, X-Ray Computed - methods</subject><ispartof>Acta radiologica (1987), 2008-10, Vol.49 (8), p.883-888</ispartof><rights>2008 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2008</rights><rights>Informa UK Ltd. (Informa Healthcare, Taylor & Francis AS)</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c486t-63734b5dc597cdcc4855ba75e2d4d83301e5e9c4b4c32c93e6133c4fe4a3793</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923,79134</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20687855$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18651253$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Elmali, M.</creatorcontrib><creatorcontrib>Soylu, K.</creatorcontrib><creatorcontrib>Gulel, O.</creatorcontrib><creatorcontrib>Bayrak, I. K.</creatorcontrib><creatorcontrib>Koprulu, D.</creatorcontrib><creatorcontrib>Diren, H. B.</creatorcontrib><creatorcontrib>Celenk, C.</creatorcontrib><title>Correlation between Depth of Myocardial Bridging and Coronary Angiography Findings</title><title>Acta radiologica (1987)</title><addtitle>Acta Radiol</addtitle><description>Background: Myocardial bridging (MB) is a congenital anomaly in which a segment of coronary artery is surrounded by myocardium.
Purpose: To investigate the correlation between muscle thickness over the tunneled coronary artery (depth) in MB and the presence of milking effect (ME) and systolic narrowing ratio in catheter angiography (CA).
Material and Methods: The records of 36 patients who underwent a coronary computed tomography angiography (CTA) and following CA examination for suspicious ischemic coronary artery disease, between March 2005 and September 2007, were retrospectively evaluated. According to the depth of MB on CTA, patients were grouped into four groups: group 1, <1 mm; group 2, 1- <2 mm; group 3, 2- <4 mm; group 4, ≥4 mm. The presence of milking effect, systolic narrowing ratio, and atherosclerotic stenosis at CA were recorded. CTA and CA results were then compared to evaluate the correlation.
Results: In total, ME was found in 15 arteries at CA (42%). There was no ME in group 1; it was present in 11% of group 2, 67% of group 3, and 100% of group 4. Starting from group 3, the percentage of likelihood of seeing the milking effect was 77%, and the percentage of systolic narrowing was between 30 and 70%. There was a significant correlation between depth of MB and systolic narrowing (P<0.01), while no significant correlation between length of MB and systolic narrowing was found (P=0.32). In seven of the 36 patients (group 1, 0; group 2, 1; group 3, 3; group 4, 3), clinical findings were related to pure MB.
Conclusion: The depth of MB is positively related to coronary narrowing and clinical ischemic findings.</description><subject>Adult</subject><subject>Aged</subject><subject>Angina Pectoris - etiology</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular system</subject><subject>Coronary Angiography - methods</subject><subject>Coronary Artery Disease - diagnosis</subject><subject>Coronary Artery Disease - etiology</subject><subject>Electrocardiography - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Bridging - complications</subject><subject>Myocardial Bridging - diagnosis</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>0284-1851</issn><issn>1600-0455</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqNkc1OGzEURi1U1KTQB2CDvCm7Af_OeNRVGgpFCkKi3Y889p2Jo4kd7ImqvD2OEsGiEurKln3OvdefEbqg5JoSRW4IU4IqmbeMKaZ4dYKmtCSkIELKT2i6vy8yQCfoS0orQiirJP2MJlSVkjLJp-h5HmKEQY8ueNzC-BfA41vYjEscOvy4C0ZH6_SAf0Rne-d7rL3FWQpexx2e-d6FPurNcofvnLcZSOfotNNDgq_H9Qz9vvv5Z_6rWDzdP8xni8IIVY5FySsuWmmNrCtjTT6UstWVBGaFVZwTChJqI1phODM1h5JybkQHQvOq5mfo6lB1E8PLFtLYrF0yMAzaQ9impqylZKTcg_QAmhhSitA1m-jWefiGkmYfY_NPjNm5PBbftmuw78Yxtwx8OwI6GT10UXvj0huXG6sqvydz1wcu6R6aVdhGnyP5sPP3g-B8F-JaL0EP4zJ_wn_ZrwTzmYo</recordid><startdate>20081001</startdate><enddate>20081001</enddate><creator>Elmali, M.</creator><creator>Soylu, K.</creator><creator>Gulel, O.</creator><creator>Bayrak, I. K.</creator><creator>Koprulu, D.</creator><creator>Diren, H. B.</creator><creator>Celenk, C.</creator><general>Informa UK Ltd</general><general>SAGE Publications</general><general>Taylor & Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20081001</creationdate><title>Correlation between Depth of Myocardial Bridging and Coronary Angiography Findings</title><author>Elmali, M. ; Soylu, K. ; Gulel, O. ; Bayrak, I. K. ; Koprulu, D. ; Diren, H. B. ; Celenk, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c486t-63734b5dc597cdcc4855ba75e2d4d83301e5e9c4b4c32c93e6133c4fe4a3793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Angina Pectoris - etiology</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular system</topic><topic>Coronary Angiography - methods</topic><topic>Coronary Artery Disease - diagnosis</topic><topic>Coronary Artery Disease - etiology</topic><topic>Electrocardiography - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Bridging - complications</topic><topic>Myocardial Bridging - diagnosis</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elmali, M.</creatorcontrib><creatorcontrib>Soylu, K.</creatorcontrib><creatorcontrib>Gulel, O.</creatorcontrib><creatorcontrib>Bayrak, I. K.</creatorcontrib><creatorcontrib>Koprulu, D.</creatorcontrib><creatorcontrib>Diren, H. B.</creatorcontrib><creatorcontrib>Celenk, C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta radiologica (1987)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elmali, M.</au><au>Soylu, K.</au><au>Gulel, O.</au><au>Bayrak, I. K.</au><au>Koprulu, D.</au><au>Diren, H. B.</au><au>Celenk, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation between Depth of Myocardial Bridging and Coronary Angiography Findings</atitle><jtitle>Acta radiologica (1987)</jtitle><addtitle>Acta Radiol</addtitle><date>2008-10-01</date><risdate>2008</risdate><volume>49</volume><issue>8</issue><spage>883</spage><epage>888</epage><pages>883-888</pages><issn>0284-1851</issn><eissn>1600-0455</eissn><coden>ACRAE3</coden><abstract>Background: Myocardial bridging (MB) is a congenital anomaly in which a segment of coronary artery is surrounded by myocardium.
Purpose: To investigate the correlation between muscle thickness over the tunneled coronary artery (depth) in MB and the presence of milking effect (ME) and systolic narrowing ratio in catheter angiography (CA).
Material and Methods: The records of 36 patients who underwent a coronary computed tomography angiography (CTA) and following CA examination for suspicious ischemic coronary artery disease, between March 2005 and September 2007, were retrospectively evaluated. According to the depth of MB on CTA, patients were grouped into four groups: group 1, <1 mm; group 2, 1- <2 mm; group 3, 2- <4 mm; group 4, ≥4 mm. The presence of milking effect, systolic narrowing ratio, and atherosclerotic stenosis at CA were recorded. CTA and CA results were then compared to evaluate the correlation.
Results: In total, ME was found in 15 arteries at CA (42%). There was no ME in group 1; it was present in 11% of group 2, 67% of group 3, and 100% of group 4. Starting from group 3, the percentage of likelihood of seeing the milking effect was 77%, and the percentage of systolic narrowing was between 30 and 70%. There was a significant correlation between depth of MB and systolic narrowing (P<0.01), while no significant correlation between length of MB and systolic narrowing was found (P=0.32). In seven of the 36 patients (group 1, 0; group 2, 1; group 3, 3; group 4, 3), clinical findings were related to pure MB.
Conclusion: The depth of MB is positively related to coronary narrowing and clinical ischemic findings.</abstract><cop>London, England</cop><pub>Informa UK Ltd</pub><pmid>18651253</pmid><doi>10.1080/02841850802282837</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Angina Pectoris - etiology Biological and medical sciences Cardiovascular system Coronary Angiography - methods Coronary Artery Disease - diagnosis Coronary Artery Disease - etiology Electrocardiography - methods Female Humans Imaging, Three-Dimensional Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Myocardial Bridging - complications Myocardial Bridging - diagnosis Radiodiagnosis. Nmr imagery. Nmr spectrometry Retrospective Studies Severity of Illness Index Tomography, X-Ray Computed - methods |
| title | Correlation between Depth of Myocardial Bridging and Coronary Angiography Findings |
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