Progression of the milking effect of the coronary artery.
Myocardial bridging and systolic milking may be involved in myocardial ischemia, myocardial infarction, and sudden death. We describe a patient whose milking effect progressed significantly over a two-year period. We conclude that bridging and milking effect can progress over a relatively short period. In those patients with prior reports of insignificant bridging and milking on coronary arteriograms and continued angina-like chest pain, a repeated catheterization may be warranted.
D000787:Angina Pectoris / Q000175:diagnosis; D003251:Constriction, Pathologic / Q000175:diagnosis; D003327:Coronary Disease / Q000175:diagnosis / Q000503:physiopathology*; D003331:Coronary Vessels / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009200:Myocardial Contraction; D013599:Systole