6533b873fe1ef96bd12d4bc9

RESEARCH PRODUCT

Using FFR to Detect Ischemia in Myocardial Bridge Lesions

Massimo FineschiTommaso Gori

subject

Myocardial bridgeInotropemedicine.medical_specialtybusiness.industryCardiac ischemiaIschemiaHemodynamicsmedicine.diseaseTypical anginaStenosisInternal medicineCardiologyMedicineDobutaminebusinessmedicine.drug

description

Beyond atherosclerosis, a number of other phenomena may result in cardiac ischemia. Among these, extracoronary compression due to myocardial bridges may cause a dynamic stenosis and typical angina. The assessment of the hemodynamic relevance and the treatment of such lesions have unique characteristics that are due to the fact that extracoronary compression from myocardial bridges is mostly a systolic phenomenon and is dependent on the inotropic state. The consequence is that other hyperemic stimuli, such as dobutamine, may be more adequate to unveil ischemia in these settings.

yearjournalcountryeditionlanguage
2016-01-01
https://doi.org/10.1007/978-3-319-47116-7_29