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An Updated Review on Myocardial Bridging

Ghulam Murtaza1, Debabrata Mukherjee2, Shahyar M Gharacholou3

  • 1Department of Internal Medicine, Division of Cardiology, East Tennessee State University, Johnson City, TN, USA.

Cardiovascular Revascularization Medicine : Including Molecular Interventions
|March 17, 2020
PubMed

Insights

Myocardial bridging, where coronary arteries travel within heart muscle, is usually benign but can cause ischemia. This review updates diagnosis and management, including medical therapy and interventions for symptomatic patients.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Cardiovascular Imaging

Background:

  • Myocardial bridging is a congenital anomaly where coronary arteries run through the heart muscle.
  • While often asymptomatic, it can cause myocardial ischemia, leading to serious cardiac events.

Purpose of the Study:

  • To review recent advancements in the diagnosis and management of myocardial bridging.
  • To highlight current strategies for evaluating the functional significance of myocardial bridging.

Main Methods:

  • Review of recent literature on myocardial bridging pathophysiology, diagnosis, and treatment.
  • Discussion of non-invasive and invasive diagnostic modalities.
  • Evaluation of medical and interventional management options.

Main Results:

  • Myocardial bridging can be a significant cause of myocardial ischemia and related complications.
  • Various diagnostic tools aid in assessing the functional impact of the anomaly.
  • Treatment strategies range from medical management to percutaneous coronary intervention and surgery.

Conclusions:

  • Accurate diagnosis and risk stratification are crucial for managing myocardial bridging.
  • Treatment should be tailored to individual patient symptoms and the functional significance of the bridging.
  • Further research is needed to optimize long-term management strategies.

Keywords:
ArteryBridgingCoronaryIschemiaMyocardium

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