Myocardial bridging causing ischemia and recurrent chest pain: a case report
1Cardiology Department, Zagazig Faculty of Medicine, Zagazig, Egypt. mhmdabdou232@yahoo.com.
International Archives of Medicine
|July 9, 2011
Summary
Myocardial bridging, a coronary artery anomaly, can cause chest pain and ST-segment elevation during exercise. This case highlights its potential to trigger ischemic events, emphasizing the need for careful management.
Area of Science:
- Cardiology
- Cardiovascular Medicine
- Clinical Case Reports
Background:
- Myocardial bridging involves coronary arteries running within the heart muscle.
- While often benign, it can lead to myocardial ischemia, infarction, and sudden cardiac death.
- This case presents a patient with recurrent chest pain and exercise-induced ST-segment elevation due to myocardial bridging.
Purpose of the Study:
- To report a case of myocardial bridging presenting with recurrent chest pain and transient ST-segment elevation.
- To discuss the potential link between myocardial bridging and coronary vasospasm.
- To illustrate diagnostic and management strategies for complicated myocardial bridging.
Main Methods:
- A 40-year-old male with recurrent chest pain underwent an exercise treadmill test.
- The test revealed chest pain and significant ST-segment elevation.
- Coronary angiography confirmed myocardial bridging in the mid-left anterior descending artery.
Main Results:
- The patient experienced chest pain and ST-segment elevation during exercise, persisting into recovery.
- Coronary angiography identified myocardial bridging.
- The patient recovered well with medical management and remained asymptomatic at one-year follow-up.
Conclusions:
- Myocardial bridging may predispose individuals to coronary vasospasm.
- This vasospasm can result in significant ischemic complications.
- Prompt diagnosis and appropriate medical treatment are crucial for managing symptomatic myocardial bridging.
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