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Magnetic Resonance Derived Myocardial Strain Assessment Using Feature Tracking
07:21

Magnetic Resonance Derived Myocardial Strain Assessment Using Feature Tracking

Published on: February 13, 2011

[Image of the month. Myocardial bridging...]

A F Rousseau1, E Mievis

  • 1CHR Namur.

Revue Medicale De Liege
|December 18, 2003
PubMed

Insights

Myocardial bridging, a congenital heart condition, occurs when coronary arteries run through heart muscle. While often asymptomatic, it can cause serious cardiac events, necessitating various treatment options.

Area of Science:

  • Cardiology
  • Congenital Heart Disease

Background:

  • Myocardial bridging is an anatomical variation where epicardial coronary arteries traverse myocardial tissue.
  • It most commonly affects the interventricular artery and is often congenital.

Observation:

  • Coronary angiography reveals myocardial bridging through a 'milking effect' due to systolic compression.
  • This condition can be asymptomatic or associated with significant clinical manifestations.

Findings:

  • Clinical manifestations include myocardial ischemia, cardiac arrhythmias, and sudden cardiac death.
  • The severity of symptoms correlates with the degree of systolic compression and myocardial bridging length.

Implications:

  • Treatment strategies range from conservative pharmacological management to interventional procedures.
  • Percutaneous coronary intervention with stenting is a key therapeutic option for symptomatic myocardial bridging.

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