Why the study?
Does percutaneous intracoronary stenting safely treat intractable chest pain due to a myocardial bridge in a patient with hypertrophic cardiomyopathy?
Does percutaneous intracoronary stenting safely treat intractable chest pain due to a myocardial bridge in a patient with hypertrophic cardiomyopathy?
Percutaneous intracoronary stenting for a myocardial bridge in a patient with hypertrophic cardiomyopathy led to rapid and severe restenosis, suggesting myotomy may be a more effective treatment option.
Raises caution for stenting myocardial bridge in hypertrophic cardiomyopathy; single case leaves open optimal therapy.
A young woman with hypertrophic cardiomyopathy presented with intractable chest pain due to a myocardial bridge over the left anterior descending artery, producing severe compression during systole. Percutaneous intracoronary stenting was performed. The patient, however, developed severe and diffuse restenosis within 30 days of the procedure. Myotomy may provide a more effective treatment option for such patients with symptomatic myocardial bridging.
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Walters et al. (2003) studied this question.
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