MARC details
| 000 -LEADER |
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| fixed length control field |
03140nam a22004217a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
230411s20232023 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
2514-2119 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1093/ehjcr/ytad047 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
PMC9924498 [pmc] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
ytad047 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
36793933 |
| 245 ## - TITLE STATEMENT |
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| Title |
Going under the bridge: unmasking ischaemia and endothelial dysfunction of myocardial bridging: a case report. |
| 251 ## - Source |
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| Source |
European Heart Journal. Case Reports. 7(2):ytad047, 2023 Feb. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Eur Heart J Case Rep. 7(2):ytad047, 2023 Feb. |
| 253 ## - Journal Name |
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| Journal name |
European heart journal. Case reports |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2023 Feb |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
epublish |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Medline status |
PubMed-not-MEDLINE |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2023-04-11 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Background: Physiological assessment of myocardial bridging prevents unnecessary interventions. Non-invasive workup or visual coronary artery compression may underestimate the underlying ischaemia associated with myocardial bridging in symptomatic patients. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Case summary: A 74-year-old male presented to the outpatient clinic with chest pain and shortness of breath on exertion. He underwent coronary artery calcium scan showing an elevated calcium score of 404. On follow-up, he endorsed progressive worsening of symptoms with chest pain and decreased exercise tolerance. He was then referred for coronary angiography that revealed mid-left anterior descending myocardial bridging with initial normal resting full-cycle ratio of 0.92. Further workup after ruling out coronary microvascular disease demonstrated abnormal hyperaemic full-cycle ratio of 0.80 with a diffuse rise across the myocardial bridging segment on pullback. Our patient also had increased spastic response to hyperaemia on angiography, supporting the presence of underlying endothelial dysfunction and ischaemia, likely contributing to his exertional symptomology. The patient was started on beta-blocker therapy with improvement in symptoms and resolution of chest pain on follow-up. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Conclusion: Our case highlights the importance of thorough workup of myocardial bridging in symptomatic patients to better understand the underlying physiology and endothelial function after ruling out microvascular disease and consideration of hyperaemic testing if symptoms are suggestive of ischaemia. Copyright © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Heart & Vascular Institute |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Interventional Cardiology Fellowship |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Case Reports |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Bhogal, Sukhdeep |
| Institution Code |
MWHC |
| Program |
Interventional Cardiology Fellowship |
| Degree |
MBBS |
| Resident year |
Fellow PGY 8 |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Hashim, Hayder |
| Institution Code |
MHVI |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Waksman, Ron |
| Institution Code |
MHVI |
| 790 ## - Authors |
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| All authors |
Bhogal S, Waksman R, Hashim H |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1093/ehjcr/ytad047">https://dx.doi.org/10.1093/ehjcr/ytad047</a> |
| Public note |
https://dx.doi.org/10.1093/ehjcr/ytad047 |
| 858 ## - ORCID |
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| Orcid |
<a href="Waksman, Ron">Waksman, Ron</a> |
| ORCID text |
https://orcid.org/0000-0002-4063-9226 |
| Name |
Waksman, Ron |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
