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Myocardial bridge: The cause of angina in a young man

Rajesh Vijayvergiya1, Bhagwant Rai Mittal

  • 1Department of Cardiology, Post Graduate Institute of Medical Education & Research, Chandigarh, India.

Indian Journal of Nuclear Medicine : IJNM : the Official Journal of the Society of Nuclear Medicine, India
|October 29, 2013
PubMed

Insights

Myocardial bridging, a coronary artery anomaly, can cause angina. This case study shows a 32-year-old male with myocardial bridging successfully managed with beta-blockers for 8 years.

Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Myocardial bridging involves the systolic narrowing of epicardial coronary arteries due to their myocardial tunnel course.
  • While often benign, it can manifest as acute coronary syndrome, arrhythmias, or sudden cardiac death.

Observation:

  • A 32-year-old male presented with exertional angina.
  • Diagnostic tests, including exercise treadmill and thallium-201 imaging, were positive.
  • Coronary angiography confirmed a myocardial bridge in the distal left anterior descending artery.

Findings:

  • The patient was treated with beta-blockers.
  • He remained asymptomatic with an 8-year follow-up, indicating successful management.

Implications:

  • This case highlights the potential for symptomatic myocardial bridging.
  • Conservative management with beta-blockers can be effective for long-term symptom control.
  • Further research into long-term outcomes and optimal treatment strategies for myocardial bridging is warranted.

Keywords:
Anginaleft anterior descending arterymyocardial bridgemyocardial ischemiasingle photon emission computed tomographythallium-201

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