Gómez-Henry JC, Rodríguez-Pérez FA

Language: Spanish
References: 4
Page: 334-336
PDF size: 86.57 Kb.

ABSTRACT

Background: The incidence of milking phenomenon is between 0.6 and 4 % in angiographic series; however, autopsy studies raise the incidence of myocardial bridges up to 85 %. This malformation goes unnoticed in most cases but can have a big impact on personal and professional level. The objective was to present an example of milking phenomenon with disability and professional consequences.
Clinical case: Male, 44 years old, bricklayer and farmhand laborer. He referred tonsillectomy and osteoarthritis and being a smoker of 10 cigarettes per day, drinking 2-3 cups of coffee daily and 2-3 glasses of wine at the weekends. The primary care physician referred him to cardiologist with suspicion of arrhythmia. The cardiology service report mentioned electrocardiogram at sinusal rhythm, 90 beats per minute and incomplete right bundle-branch block. At ergonomics test, in the first stage of Bruce protocol, the patient’s development of hypertensive crisis suggested a milking phenomenon. Finally, the diagnosis was established by angiographic studies with left common branch, circumflex coronary artery, right coronary artery and anterior descendent artery, without evidence of pathology but it was seen systolic compression on the medial segment. The case was concluded by the disability assessment team, recognizing a total permanent disability with limitations for activities requiring moderate physical efforts.
Conclusions: The milking phenomenon diagnosis that could be related with ischemic heart disease is by angiography. Finally, the patient ended with total permanent disability.

REFERENCES

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3. Escuela Nacional de Medicina del Trabajo, Instituto Nacional de la Seguridad Social. Guía de valoración de la incapacidad laboral para médicos de atención primaria. Madrid, España: Escuela Nacional de Medicina del Trabajo; 2009. Texto libre en http://www. aeemt.com/contenidos_socios/Recursos/Documen tos_interes/GUIA_DE_VALORACION_DE_INCAP ACIDAD_LABORAL_PARA_AP.pdf

4. De Agustín JA, Marcos-Alberca P, Fernández-Golfín C, Bordesa S, Feltes G, Almería C. Puente miocárdico evaluado mediante tomografía computarizada multidetectores: posible causa del dolor torácico en pacientes más jóvenes con baja prevalencia de dislipemia. Rev Esp Cardiol. 2012;65:885-90. Texto libre en http://www.revespcardiol.org/es/ puente-miocardico-evaluado-mediante-tomografi a/ articulo/90154887/