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Related Experiment Videos

Myocardial bridge: evaluation on MDCT.

Abdel-Rauf Zeina1, Majed Odeh, Jorge Blinder

  • 1Department of Radiology and MAR Imaging Institute, Bnai Zion Medical Center, 47, Golomb St., P.O.B. 4940, Haifa, Israel. raufzeina3@hotmail.com

AJR. American Journal of Roentgenology
|March 23, 2007
PubMed
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Myocardial bridges are linked to atherosclerosis development in adjacent coronary arteries. This finding suggests myocardial bridges may be an anatomical risk factor for coronary artery disease (CAD).

Area of Science:

  • Cardiovascular Medicine
  • Radiology
  • Pathology

Background:

  • The relationship between myocardial bridges and atherosclerosis is debated.
  • Myocardial bridges are congenital anomalies where a segment of coronary artery travels through heart muscle.

Purpose of the Study:

  • To investigate the association between myocardial bridges and atheromatous coronary artery disease (CAD).

Main Methods:

  • Coronary CT angiography (CTA) was performed on 300 subjects.
  • Prevalence, characteristics, and atheromatous changes of myocardial bridges were assessed.
  • Subjects with myocardial bridges were compared to a control group without bridges.

Main Results:

  • 26% of subjects had a myocardial bridge, most commonly in the mid left anterior descending artery (LAD).

Related Experiment Videos

  • Myocardial bridge presence was significantly associated with more atheromatous changes proximal to the bridge in the LAD.
  • Stenosis severity correlated with myocardial bridge thickness and length.

    • Conclusions:

    • Myocardial bridges predispose to atherosclerosis in the proximal coronary artery segment.
    • Myocardial bridges should be considered an anatomical risk factor in CAD evaluation.