Myocardial bridges: A meta‐analysis

Roberts, Wallisa; Charles, Stacey; Ang, Cassandra; Hołda, Jakub; Walocha, Jerzy; Lachman, Nirusha; Tubbs, R. Shane; Loukas, Marios

doi:10.1002/ca.23697

Cited by 38 publications

(45 citation statements)

References 136 publications

(211 reference statements)

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“…Information regarding the prevalence of coronary artery IC in the population differs significantly, although these differences are more likely related to the method of its diagnosis. It can be detected by coronary angiography in 2-6 %, by CT angiography -in 19.0-22.5 %, by intravascular ultrasound -in 23 % of patients [13][14][15][16]. According to autopsy data, IC of the coronary artery is found in 33-42 % of cases [13,17].…”

Section: Discussionmentioning

confidence: 98%

Various mechanisms of myocardial necrosis development due to combat injury as a reason for discussion: a case series

Lovkin

Sydorova

Kazmirchuk

et al. 2022

ZMJ

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The real clinical practice of the last 8 years in Ukraine indicates the possibility of myocardial injury developing in wounded with combat trauma, including those meeting the criteria for myocardial infarction (predominantly type 2), which differs significantly in the mechanism of development, resulting in numerous difficulties for doctors in providing medical care to such patients (formulation of the diagnosis, choice of treatment tactics). The current recommendations of the European Society of Cardiology for the management of patients with acute coronary syndromes after the adoption of the Fourth Universal Definition of Myocardial Infarction do not consider special approaches to the treatment of patients with myocardial necrosis associated with trauma. The aim of this publication was to demonstrate, using the example of a case series, the relevance of the problem of terminology, diagnosis, and treatment of myocardial infarction caused by a combat injury. In all three clinical cases presented, young and middle-aged patients were diagnosed with myocardial infarction in accordance with the Fourth Universal Definition. In all these cases, there were no atherosclerotic coronary artery lesions, and a type 2 myocardial infarction was assumed due to acute myocardial ischemia as a consequence of the injured coronary artery ligation (case 1); microcirculation disorders in the area of myocardial contusion (case 2); anatomical feature of the coronary artery in the form of its intramural course in the presence of severe sympathicotonia and sinus tachycardia (case 3). Because all three patients had myocardial necrosis associated with trauma of the chest and heart, the question arose of the preference for coding such pathology through ICD-10 as section S00-T88 (injury, poisoning and certain other consequences of external causes), namely S26 (injury of heart), but not as I21 (acute myocardial infarction) from the section I00-I99 (diseases of the circulatory system). Thus, the developed pathology in such patients will be clearly associated with the combat trauma, and their treatment will not be tied to the current Ukrainian Unified Protocol for the Management of Patients with ST-segment Elevation Acute Coronary Syndrome. Conclusions. The presented clinical cases substantiate the planning of clinical trials and the development of recommendations for the management of patients with acute myocardial injury (including myocardial necrosis) and trauma of the heart and coronary arteries, depending on the mechanism of damage development.

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Section: Discussionmentioning

confidence: 98%

Various mechanisms of myocardial necrosis development due to combat injury as a reason for discussion: a case series

Lovkin

Sydorova

Kazmirchuk

et al. 2022

ZMJ

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“…In this article, we introduced the CATAM rubric and used it to critically appraise a recently published anatomical MA (Kacprzyk et al, 2020). There have been other anatomical MAs recently published (Aldabe et al, 2019; Bellier et al, 2020; Berthaume & Bull, 2021; Cheruiyot et al, 2021; Dreher et al, 2018; Graves et al, 2017; Harvie et al, 2019; Koziej et al, 2020; Morelli et al, 2019; Nallikuzhy et al, 2018; Roberts et al, 2021; Sirico et al, 2019; Solewski et al, 2021; Stefura et al, 2018; Tomaszewska et al, 2018; Tomaszewska et al, 2018; Tomaszewski et al, 2017; Tomaszewski et al, 2017; Vikse et al, 2016a, 2016b; Whitley et al, 2020; Yammine, 2013, 2014b, 2014c, 2014d; Yammine et al, 2015; Yurasakpong et al, 2021). We believe that the running paper that we used is an exemplary anatomical MA (Kacprzyk et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

The Critical Appraisal Tool for Anatomical Meta‐analysis: A framework for critically appraising anatomical meta‐analyses

et al. 2022

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The hallmark of evidence‐based medicine is the meta‐analysis (MA). For much of its rich history, the field of anatomy has been dominated by descriptive, cadaveric studies. In the last two decades, quantitative measurements and statistical analyses have frequently accompanied such studies. These studies have directly led to the publication of anatomical MAs, which have ushered in the exciting field of evidence‐based anatomy. Although critical appraisal tools exist for clinical MAs, none of them are specifically tailored for anatomical MAs. Therefore, the purpose of this article is to provide a framework by which clinical anatomists and others can critically appraise anatomical MAs using the Critical Appraisal Tool for Anatomical Meta‐analysis (CATAM). Using a running example from a recently published MA, we show how to use the CATAM rubric in a step‐by‐step fashion. Each scored section of the CATAM rubric is summated into a total score (maximum 50 points). This score is then referenced to a conversion chart, which assigns a qualitative value to the MA in a range from “very good” to “poor.” Future studies can investigate the interrater reliability of the instrument, and possibly subject the CATAM rubric to a Delphi panel. As anatomical MAs become more commonplace at surgical grand rounds and journal clubs in academic medical centers throughout the world, we hope that the CATAM rubric can help facilitate meaningful discussions about the quality and clinical relevance of anatomical MAs.

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“…The presence of the myocardial bridges over the left anterior descending artery should also be mentioned, as their presence is not insignificant within the left coronary artery tree. Nevertheless, within the anterior interventricular artery, the myocardial bridges are usually located outside the LVS area as they are much more likely to be found in the middle segment of the artery (75.3%), followed by distal (20.5%) and proximal (7.4%) segments of the left anterior interventricular artery [23,24].…”

Section: The Septal Margin Of Lvsmentioning

confidence: 99%

Left Ventricular Summit—Concept, Anatomical Structure and Clinical Significance

et al. 2021

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The left ventricular summit (LVS) is a triangular area located at the most superior portion of the left epicardial ventricular region, surrounded by the two branches of the left coronary artery: the left anterior interventricular artery and the left circumflex artery. The triangle is bounded by the apex, septal and mitral margins and base. This review aims to provide a systematic and comprehensive anatomical description and proper terminology in the LVS region that may facilitate exchanging information among anatomists and electrophysiologists, increasing knowledge of this cardiac region. We postulate that the most dominant septal perforator (not the first septal perforator) should characterize the LVS definition. Abundant epicardial adipose tissue overlying the LVS myocardium may affect arrhythmogenic processes and electrophysiological procedures within the LVS region. The LVS is divided into two clinically significant regions: accessible and inaccessible areas. Rich arterial and venous coronary vasculature and a relatively dense network of cardiac autonomic nerve fibers are present within the LVS boundaries. Although the approach to the LVS may be challenging, it can be executed indirectly using the surrounding structures. Delivery of the proper radiofrequency energy to the arrhythmia source, avoiding coronary artery damage at the same time, may be a challenge. Therefore, coronary angiography or cardiac computed tomography imaging is strongly recommended before any procedure within the LVS region. Further research on LVS morphology and physiology should increase the safety and effectiveness of invasive electrophysiological procedures performed within this region of the human heart.

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Myocardial bridges: A meta‐analysis

Cited by 38 publications

References 136 publications

Various mechanisms of myocardial necrosis development due to combat injury as a reason for discussion: a case series

Various mechanisms of myocardial necrosis development due to combat injury as a reason for discussion: a case series

The Critical Appraisal Tool for Anatomical Meta‐analysis: A framework for critically appraising anatomical meta‐analyses

Left Ventricular Summit—Concept, Anatomical Structure and Clinical Significance

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