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Myocardial bridging: cases reports

B Camardella1, A Di Matteo, E Tufano

  • 1Dipartimento del Cuore e Grossi Vasi A. Reale, U.O.C. Cardiology Polo Pontino, University of Rome La Sapienza, Rome, Italy.

European Review for Medical and Pharmacological Sciences
|April 12, 2008
PubMed

Insights

Myocardial Bridge (MB) is a common heart anomaly, frequently asymptomatic and difficult to diagnose. This condition can be a contributing factor to coronary artery disease, impacting patient diagnosis and treatment.

Area of Science:

  • Cardiology
  • Anatomical Pathology

Background:

  • Myocardial Bridge (MB) is a congenital anomaly where a segment of cardiac muscle crosses over a coronary artery.
  • Despite its high autopsy prevalence (85%), MB is often asymptomatic and overlooked in clinical practice.

Observation:

  • The study presents two cases of Myocardial Bridge.
  • Diagnosis of MB can be challenging, particularly in patients with co-existing coronary artery disease.

Findings:

  • Selective coronary angiograms identify MB in only 16-20% of patients presenting with chest pain.
  • Myocardial Bridge is increasingly recognized as a potential cause or contributor to coronary artery disease.

Implications:

  • Increased awareness and diagnostic vigilance for Myocardial Bridge are crucial in managing patients with suspected or confirmed coronary artery disease.
  • Understanding the role of MB in coronary artery disease may lead to improved diagnostic strategies and therapeutic approaches.

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