A case of myocardial muscular bridging causing severe hypotension during exercise-electrocardiography test [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2016; 44(1): 65-67 | DOI: 10.5543/tkda.2015.90206

A case of myocardial muscular bridging causing severe hypotension during exercise-electrocardiography test

Gamze Babur Güler1, Hacı Murat Güneş1, Ekrem Güler1, Tamer Atasever2, Ali Metin Esen3
1Department of Cardiology, Istanbul Medipol University Faculty of Medicine, Istanbul, Turkey
2Department of Nuclear Medicine, İstanbul Medipol University Faculty of Medicine, Istanbul, Turkey
3Memorial Şişli Hospital, Istanbul, Turkey

Outlining the severity of the myocardial bridge (MB) is a critical step for selecting the appropriate option among medical, surgical, or angioplasty-based treatments. Invasive treatments are usually preferred if treatment-resistant symptoms are observed or ischemia is proven by tests such as fractional flow reserve or myocardial perfusion scintigraphy (MPS). In this report, we present a patient who developed severe hypotension during treadmill exercise test, even though there were no perfusion defects during adenosine-induced MPS. This case suggests MPS with adenosine is not a good choice for evaluating ischemi

Keywords: Adenosine, hypotension, myocardial bridge

Gamze Babur Güler, Hacı Murat Güneş, Ekrem Güler, Tamer Atasever, Ali Metin Esen. A case of myocardial muscular bridging causing severe hypotension during exercise-electrocardiography test. Turk Kardiyol Dern Ars. 2016; 44(1): 65-67

Corresponding Author: Gamze Babur Güler, Türkiye
© copyright 2017 Archives of the Turkish Society of Cardiology
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