作者: Y. von Kodolitsch , O. Franzen , G. K. Lund , D. H. Koschyk , W. D. Ito
DOI: 10.1007/S00392-005-0153-1
关键词: Medicine 、 Population 、 Clinical significance 、 Intravascular ultrasound 、 Myocardial bridging 、 Clinical diagnosis 、 Clinical events 、 Internal medicine 、 Cardiology 、 Coronary arteries 、 Artery
摘要: Congenital anomalies of the coronary arteries occur in 0.2-1.2% general population; they cause 12% sports-related sudden cardiac deaths and 1.2% non-sports-related deaths. We review some substantial advances that have been made both, understanding embryonic development clinical diagnosis management their anomalies. In this second part our we elucidate recent approaches to defining provide information on incidence prognosis. addition, discuss options for screening large populations potentially lethal malformations role invasive diagnostic modalities such as intravascular ultrasound, flow wire pressure wire. The relevance is discussed particularly ill-defined group only occasionally severe events comprising anomalous origination a artery from opposite sinus (ACAOS), fistulae myocardial bridging. Finally, an update current therapeutic recommendations.