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Unusual Sign from an Unusual Cause: Wellens' Syndrome due to Myocardial Bridging

Paurush Ambesh1, Dikshya Sharma1, Aditya Kapoor2

  • 1Department of Internal Medicine, Maimonides Medical Center, New York City, NY, USA.

Case Reports in Cardiology
|August 28, 2018
PubMed

Insights

Myocardial bridging, a rare cause of cardiac chest pain, occurs when a coronary artery is compressed by heart muscle during systole. This case report highlights the importance of considering myocardial bridging in patients with elusive angina.

Area of Science:

  • Cardiology
  • Cardiovascular Medicine

Background:

  • Chest pain is a common symptom requiring accurate diagnosis.
  • Myocardial bridging is an increasingly recognized cause of cardiac chest pain.
  • Understanding rare etiologies of angina is crucial for effective patient management.

Observation:

  • A case report detailing a patient presenting with angina.
  • The patient's symptoms were attributed to myocardial bridging.
  • Myocardial bridging involves a segment of a coronary artery tunneled within the myocardium.

Findings:

  • Myocardial bridging can cause dynamic arterial compression during systole.
  • This compression impedes coronary blood flow, leading to myocardial ischemia.
  • The condition can present as an elusive cause of angina pectoris.

Implications:

  • Clinicians should maintain a high index of suspicion for myocardial bridging in unexplained angina.
  • Accurate diagnosis of myocardial bridging is essential for appropriate treatment strategies.
  • Further research into the prevalence and management of myocardial bridging is warranted.

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