Why the study?
The study was conducted to evaluate the immediate results of treatment in patients with a symptomatic form of myocardial bridges of the coronary arteries.
Does supracoronary myotomy improve outcomes in patients with symptomatic myocardial bridges of the coronary arteries who are refractory to medical therapy?
Does supracoronary myotomy improve outcomes in patients with symptomatic myocardial bridges of the coronary arteries who are refractory to medical therapy?
Supracoronary myotomy is a feasible and effective treatment option for patients with symptomatic myocardial bridges who remain refractory to optimal medical therapy.
The objective was to evaluate the immediate results of treatment of patients with symptomatic form of myocardial bridges of the coronary arteries. Methods and materials . In the course of a retrospective study, the results of treatment of 70 patients who had underwent drug treatment and 52 patients who had underwent surgical treatment were analyzed. All the subjects had high functional angina pectoris. Results. Pharmacological therapy showed significant positive dynamics in 18 (25.7 %) patients. Analysis of the intraoperative and early postoperative periods in patients who underwent supracoronary myotomy allows us to conclude that surgical treatment of patients with myocardial bridges of the coronary arteries shows satisfactory results. Conclusion. Drug therapy may be effective in some patients with myocardial bridges of the coronary arteries. In case of ineffectiveness of pharmacological treatment, the possibility of performing surgery in the amount of supracoronary myotomy should be considered.
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Исмаил-заде et al. (2021) studied this question.
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