A Case of Treating Chest Pain Associated with Myocardial Bridge

흉통(胸痛)이 있는 심근교(myocardial bridge) 환자의 치험 1례

  • Kim, Bo-ram (Department of Oriental Internal Medicine, DongGuk University International Hospital) ;
  • Choi, Dong-jun (Department of Oriental Internal Medicine, DongGuk University International Hospital) ;
  • Lim, Sung-woo (Department of Oriental Internal Medicine, DongGuk University International Hospital)
  • 김보람 (동국대학교 일산한방병원 한방내과) ;
  • 최동준 (동국대학교 일산한방병원 한방내과) ;
  • 임성우 (동국대학교 일산한방병원 한방내과)
  • Published : 2009.12.01

Abstract

Myocardial bridging, a congenital coronary anomaly, is present when a segment of a major epicardial coronary artery, runs intramurally through the myocardium. So with each systole, the coronary artery is compressed. It has been associated with angina, arrhythmia, myocardial infarction and sudden cardiac death. This is a case of a 39-year-old woman who was diagnosed myocardial bridge. She complained of recurrent chest pain, palpitation. We diagnosed her as Gyesimtong(JiXiTong, 悸心痛), and prescribed Jeongkicheonhyang-tang(正氣天香湯). After treatment, all of the symptoms had improved and have not recurred for 18 months. This case suggests that oriental medicine therapy can be applicable to improve in symptoms of myocardial bridge.

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