RESUMEN
We report 2 cases of Myocardial Bridge (MB). MB, even though a very frequent anomaly (found out in 85% of autopsies), often is asymptomatic. It is hard to diagnose in patients affected by coronary artery disease, seldomly found out on selective coronary angiograms (in 16-20% of chest pain cases). MB can be considered as one of the causes of coronary artery disease.
Asunto(s)
Enfermedad de la Arteria Coronaria/etiología , Anomalías de los Vasos Coronarios/complicaciones , Anciano , Angiografía Coronaria , Anomalías de los Vasos Coronarios/diagnóstico , Anomalías de los Vasos Coronarios/fisiopatología , Ecocardiografía/métodos , Electrocardiografía , Humanos , MasculinoRESUMEN
BACKGROUND: The incidence of cardiovascular events in reproductive age women is 3 times lower than in men, whereas this ratio noticeably changes on menopausal beginning. Postmenopausal women are more exposed to the effects of risk factors, which are present in a noticeably different entity in physiological or surgical menopause; and in the latter whether on substitutive hormonal treatment or not. METHODS: This study, carried out in Rome and Latina, has involved 743 postmenopausal women, of whom 545 with physiological menopause and 198 with iatrogenic menopause. RESULTS: The average blood pressure value as well as the incidence of hypertension, hypercholesterolemia, diabetes mellitus, obesity and smoking have a significantly different trend in physiological versus iatrogenic postmenopausal women; and in the latter whether on substitutive hormonal treatment or not. CONCLUSIONS: Studying life-style and evaluating risk factors in postmenopausal women, and giving an up-to-date view about the prevalence oh health conditions at risk, will allow us to promote both primary and secondary prevention actions.