Related Experiment Video
Updated: Dec 26, 2025
10:53
Ultrasonic Assessment of Myocardial Microstructure
Published on: January 14, 2014
5.8K
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.
Summary
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.
Related Concept Videos
01:22Mitral Stenosis I: Introduction
309
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
309
01:20Mitral Regurgitation I: Introduction
300
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
300
01:29Cardiomyopathy IV: Restrictive Cardiomyopathy
375
Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
375
01:30Acute Coronary Syndrome III: Diagnostic Studies
152
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
152
01:29Cardiomyopathy III: Hypertrophic Cardiomyopathy
297
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
297
01:23Mitral Stenosis II: Clinical features and Diagnostic Tests
157
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
157