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Updated: Apr 20, 2026

High-frequency High-resolution Echocardiography: First Evidence on Non-invasive Repeated Measure of Myocardial Strain, Contractility, and Mitral Regurgitation in the Ischemia-reperfused Murine Heart
11:50

High-frequency High-resolution Echocardiography: First Evidence on Non-invasive Repeated Measure of Myocardial Strain, Contractility, and Mitral Regurgitation in the Ischemia-reperfused Murine Heart

Published on: July 9, 2010

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Stress echocardiography pattern: a promising noninvasive test for detection of myocardial bridging with haemodynamic

Mariachiara Siciliano1, Federico Migliore, Piergiuseppe Piovesana

  • 1aDepartment of Cardiac, Thoracic, and Vascular Sciences, University of Padova bDivision of Cardiology, Camposampiero Hospital, Padova, Italy.

Journal of Cardiovascular Medicine (Hagerstown, Md.)
|December 4, 2014
PubMed

Insights

A specific echocardiography pattern may indicate myocardial bridging in the left anterior descending coronary artery (LAD). This finding aids in diagnosing ischemia in athletes with underlying coronary artery anomalies.

Area of Science:

  • Cardiology
  • Diagnostic Imaging
  • Sports Medicine

Background:

  • Myocardial bridging is a congenital coronary anomaly where a segment of the coronary artery travels through the heart muscle.
  • It can lead to myocardial ischemia, particularly in athletes, due to dynamic compression during exercise.

Observation:

  • A young athlete presented with symptoms suggestive of myocardial ischemia.
  • Contrast exercise stress echocardiography revealed a specific pattern of reversible septal buckling.

Findings:

  • The observed septal buckling pattern during stress echocardiography was strongly associated with myocardial bridging in the left anterior descending coronary artery (LAD).
  • Computed tomography coronary angiography confirmed the presence of LAD myocardial bridging.

Implications:

  • This specific echocardiographic finding can serve as an early indicator for myocardial bridging in the LAD.
  • It may improve the diagnostic accuracy of stress echocardiography for detecting coronary artery anomalies in symptomatic individuals, especially athletes.

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