{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T19:22:52Z","timestamp":1790796172975,"version":"4.1.0"},"reference-count":32,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiology"],"published-print":{"date-parts":[[2018]]},"abstract":"<b><i>Objective:<\/i><\/b> To determine the prevalence and clinical effects of myocardial bridging (MB) in patients with apical hypertrophic cardiomyopathy (AHCM). <b><i>Methods:<\/i><\/b> Angiograms from 212 AHCM patients were reviewed to identify MB. The patients were classified into 2 groups: AHCM with and AHCM without MB. We reviewed patient records on cardiovascular (CV) risk factors, symptoms, CV events, and CV mortality. <b><i>Results:<\/i><\/b> In all, 60 patients with MB and 100 without MB were included. Rates of angina (61.7 vs. 40%; <i>p<\/i> = 0.008), mimicking non-ST-segment elevation myocardial infarction (15 vs. 3%, <i>p<\/i> = 0.013), and Canadian Cardiovascular Society class III\/IV angina (18.3 vs. 4%; <i>p<\/i> = 0.003) were higher in patients with MB than in those without. Mean follow-up periods (65.5 \u00b1 50.5 vs. 64.4 \u00b1 43.6 months, <i>p<\/i> = 0.378) and CV mortality (3.3 vs. 1%; p = 0.652) were similar in the 2 groups. Kaplan-Meier estimates demonstrated that CV event-free survival rates were lower in patients with MB than in those without (71.7 vs. 88%; <i>p<\/i> = 0.022). MB, late gadolinium enhancement, and female sex were independent risk factors for CV events in a multivariate Cox regression analysis adjusted for other risk factors. <b><i>Conclusion:<\/i><\/b> More serious symptoms and a higher risk of CV events were observed in AHCM<b><i><\/i><\/b> patients with MB than in those without MB. CV mortality was similar in these 2 groups.<\/jats:p>","DOI":"10.1159\/000486276","type":"journal-article","created":{"date-parts":[[2018,1,31]],"date-time":"2018-01-31T22:01:34Z","timestamp":1517436094000},"page":"161-168","source":"Crossref","is-referenced-by-count":18,"title":["Clinical Outcomes of Myocardial Bridging versus No Myocardial Bridging in Patients with Apical Hypertrophic Cardiomyopathy"],"prefix":"10.1159","volume":"139","author":[{"given":"Shan-Shan","family":"Zhai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao-Mei","family":"Fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuo-Yan","family":"An","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Hang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yin-Jian","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Rong","family":"Yan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi-Ying","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Shi","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2018,1,31]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu284"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.65.1.7"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/clc.20995"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(79)90139-5"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00493-8"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(93)90193-5"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.96.12.4268"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960141115"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1177\/000331979905000507"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jev192"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1186\/1532-429X-13-40"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.169.2.2971985"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(86)80100-0"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2013.10.005"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2011.10.020"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00941-0"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehp121"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00854-4"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199810223391704"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1007\/BF02577154"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1177\/0003319707306447"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2010.04.046"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.07.154"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2015.01.054"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1159\/000448239"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01778-8"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2011.03.002"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2014.05.067"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1097\/RTI.0000000000000115"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2013-305471"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2013.02.040"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.4070\/kcj.2015.45.1.38"}],"container-title":["Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/486276","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/486276","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:32:14Z","timestamp":1745425934000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000486276"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":32,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2018,3,8]]},"published-print":{"date-parts":[[2018,3,15]]}},"URL":"https:\/\/doi.org\/10.1159\/000486276","archive":["Portico"],"relation":{},"ISSN":["0008-6312","1421-9751"],"issn-type":[{"value":"0008-6312","type":"print"},{"value":"1421-9751","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}