Absence of arteriosclerosis in intramyocardial coronary arteries: a mystery to be solved?

Detalhes bibliográficos
Autor(a) principal: Ramalli Jr,Edvaldo Luiz
Data de Publicação: 2011
Outros Autores: Braga,Leonardo Henrique, Evora,Patricia Martinez, Albuquerque,Agnes Afrodite Sumarelli, Celotto,Andrea Carla, Mota,André Lupp, Evora,Paulo Roberto Barbosa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Cardiovascular Surgery (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382011000300020
Resumo: Several studies show that portions of intramyocardial coronary arteries are spared of arteriosclerosis, involving morphological, embryological, biochemical and pathophysiological aspects. Endothelial function is significantly affected in the segment of transition, as estimated by the vasoactive response to Ach. These findings suggest that myocardial bridge can provide protection against arteriosclerosis by counteracting the negative effects of endothelial dysfunction. The intramyocardial portion's protection phenomenon deserves further scientific research on all research fronts. Improved morphological, biomechanical and especially physiological and embryological knowledge may be the key to a future window of opportunity for chronic arterial disease therapy and prevention. In addition, this review discusses possible therapeutic approaches for symptomatic coronary ischemia caused by myocardial bridges
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spelling Absence of arteriosclerosis in intramyocardial coronary arteries: a mystery to be solved?Myocardial bridgingCoronary circulationEndotheliumSeveral studies show that portions of intramyocardial coronary arteries are spared of arteriosclerosis, involving morphological, embryological, biochemical and pathophysiological aspects. Endothelial function is significantly affected in the segment of transition, as estimated by the vasoactive response to Ach. These findings suggest that myocardial bridge can provide protection against arteriosclerosis by counteracting the negative effects of endothelial dysfunction. The intramyocardial portion's protection phenomenon deserves further scientific research on all research fronts. Improved morphological, biomechanical and especially physiological and embryological knowledge may be the key to a future window of opportunity for chronic arterial disease therapy and prevention. In addition, this review discusses possible therapeutic approaches for symptomatic coronary ischemia caused by myocardial bridgesSociedade Brasileira de Cirurgia Cardiovascular2011-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382011000300020Brazilian Journal of Cardiovascular Surgery v.26 n.3 2011reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.5935/1678-9741.20110020info:eu-repo/semantics/openAccessRamalli Jr,Edvaldo LuizBraga,Leonardo HenriqueEvora,Patricia MartinezAlbuquerque,Agnes Afrodite SumarelliCelotto,Andrea CarlaMota,André LuppEvora,Paulo Roberto Barbosaeng2011-12-15T00:00:00Zoai:scielo:S0102-76382011000300020Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2011-12-15T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false
dc.title.none.fl_str_mv Absence of arteriosclerosis in intramyocardial coronary arteries: a mystery to be solved?
title Absence of arteriosclerosis in intramyocardial coronary arteries: a mystery to be solved?
spellingShingle Absence of arteriosclerosis in intramyocardial coronary arteries: a mystery to be solved?
Ramalli Jr,Edvaldo Luiz
Myocardial bridging
Coronary circulation
Endothelium
title_short Absence of arteriosclerosis in intramyocardial coronary arteries: a mystery to be solved?
title_full Absence of arteriosclerosis in intramyocardial coronary arteries: a mystery to be solved?
title_fullStr Absence of arteriosclerosis in intramyocardial coronary arteries: a mystery to be solved?
title_full_unstemmed Absence of arteriosclerosis in intramyocardial coronary arteries: a mystery to be solved?
title_sort Absence of arteriosclerosis in intramyocardial coronary arteries: a mystery to be solved?
author Ramalli Jr,Edvaldo Luiz
author_facet Ramalli Jr,Edvaldo Luiz
Braga,Leonardo Henrique
Evora,Patricia Martinez
Albuquerque,Agnes Afrodite Sumarelli
Celotto,Andrea Carla
Mota,André Lupp
Evora,Paulo Roberto Barbosa
author_role author
author2 Braga,Leonardo Henrique
Evora,Patricia Martinez
Albuquerque,Agnes Afrodite Sumarelli
Celotto,Andrea Carla
Mota,André Lupp
Evora,Paulo Roberto Barbosa
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Ramalli Jr,Edvaldo Luiz
Braga,Leonardo Henrique
Evora,Patricia Martinez
Albuquerque,Agnes Afrodite Sumarelli
Celotto,Andrea Carla
Mota,André Lupp
Evora,Paulo Roberto Barbosa
dc.subject.por.fl_str_mv Myocardial bridging
Coronary circulation
Endothelium
topic Myocardial bridging
Coronary circulation
Endothelium
description Several studies show that portions of intramyocardial coronary arteries are spared of arteriosclerosis, involving morphological, embryological, biochemical and pathophysiological aspects. Endothelial function is significantly affected in the segment of transition, as estimated by the vasoactive response to Ach. These findings suggest that myocardial bridge can provide protection against arteriosclerosis by counteracting the negative effects of endothelial dysfunction. The intramyocardial portion's protection phenomenon deserves further scientific research on all research fronts. Improved morphological, biomechanical and especially physiological and embryological knowledge may be the key to a future window of opportunity for chronic arterial disease therapy and prevention. In addition, this review discusses possible therapeutic approaches for symptomatic coronary ischemia caused by myocardial bridges
publishDate 2011
dc.date.none.fl_str_mv 2011-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382011000300020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382011000300020
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/1678-9741.20110020
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
dc.source.none.fl_str_mv Brazilian Journal of Cardiovascular Surgery v.26 n.3 2011
reponame:Brazilian Journal of Cardiovascular Surgery (Online)
instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron:SBCCV
instname_str Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron_str SBCCV
institution SBCCV
reponame_str Brazilian Journal of Cardiovascular Surgery (Online)
collection Brazilian Journal of Cardiovascular Surgery (Online)
repository.name.fl_str_mv Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
repository.mail.fl_str_mv ||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br
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