Related Experiment Video

Updated: Dec 20, 2025

Author Spotlight: Enhancing Coronary Artery Revascularization
05:25

Author Spotlight: Enhancing Coronary Artery Revascularization

Published on: September 15, 2023

1.1K

Alarming ST-segment elevation in a young male with left anterior descending coronary artery myocardial bridging

Nirav A Patel1, Molly Szerlip, Dineshkumar Patel

  • 1Department of Medicine, and Section of Cardiology, Medical College of Georgia, Augusta, GA, USA. nirpatel@mail.mcg.edu

Southern Medical Journal
|March 28, 2008
PubMed

Insights

Chest pain with ST-segment elevation can mimic acute coronary syndrome. A case report highlights myocardial bridging as a rare cause of these symptoms in a young male.

Area of Science:

  • Cardiology
  • Diagnostic Imaging
  • Emergency Medicine

Background:

  • Chest pain is a frequent emergency department presentation.
  • Acute coronary syndrome (ACS) is a critical diagnosis, but similar symptoms arise from various conditions.
  • Electrocardiogram (ECG) ST-segment elevation can be misleading, complicating diagnosis.

Purpose of the Study:

  • To report a case of myocardial bridging presenting as chest pain with ST-segment elevation.
  • To highlight the diagnostic challenges posed by myocardial bridging mimicking ACS.
  • To emphasize the importance of considering non-atherosclerotic causes of ST-segment elevation.

Main Methods:

  • Case report of a young male presenting with chest pain and ECG changes.
  • Diagnostic workup including [mention specific tests if available, e.g., coronary angiography].
  • Identification of myocardial bridging as the underlying pathology.

Main Results:

  • The patient presented with symptoms suggestive of ACS.
  • ECG showed ST-segment elevation.
  • Myocardial bridging of a coronary artery segment was confirmed as the cause.

Conclusions:

  • Myocardial bridging can present with ST-segment elevation, mimicking acute coronary syndrome.
  • Accurate diagnosis is crucial to avoid unnecessary interventions for ACS.
  • Consideration of congenital coronary anomalies is important in young patients with unexplained chest pain and ECG changes.

More Related Videos

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

19.0K
A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

24.6K

Related Concept Videos

Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
239
Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
278
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
778
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
142
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
287
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
560