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 Esen31Department 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
How to cite this article
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
Manuscript Language: English