Complex ventricular tachycardia coexistent with myocardial bridging
Sinan Cersit1, Mustafa Ozan Gursoy2, Lutfi Ocal1
1Department of Cardiology, Kosuyolu Kartal Heart Training and Research Hospital, Istanbul, Turkey.
Northern Clinics of Istanbul
|December 31, 2020
Summary
This case study discusses a rare instance of sustained ventricular tachycardia linked to myocardial bridging. It highlights the patient
Area of Science:
- Cardiology
- Electrophysiology
- Cardiovascular Surgery
Background:
- Myocardial bridging is a congenital anomaly where a segment of a coronary artery tunneled through the heart muscle.
- Sustained monomorphic ventricular tachycardia (SMVT) is a life-threatening arrhythmia originating from the ventricles.
- The association between myocardial bridging and ventricular arrhythmias is infrequently reported, lacking established treatment guidelines.
Observation:
- A patient presented with recurrent episodes of malignant ventricular arrhythmia.
- Diagnostic evaluation revealed the presence of myocardial bridging on a coronary artery.
- The ventricular arrhythmia was suspected to be associated with the myocardial bridge.
Findings:
- The case highlights the potential link between myocardial bridging and sustained monomorphic ventricular tachycardia.
- Clinical management involved addressing the malignant ventricular arrhythmia in the context of myocardial bridging.
- Specific medical treatments and clinical decisions for this rare comorbidity are detailed.
Implications:
- This case contributes to understanding the arrhythmogenic potential of myocardial bridging.
- It underscores the need for considering myocardial bridging in patients with unexplained ventricular arrhythmias.
- Further research may elucidate optimal management strategies for this rare clinical scenario.
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