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Myocardial Bridging, the Hidden Risk Factor for Ischemia
Vincenzo C Happach1, Gerald T Delk1,2,3, Latha Ganti1
1Mercer University School of Medicine, Macon, GA 31207, USA.
Military Medicine
|March 9, 2021
Summary
Myocardial bridging, a rare condition, can cause acute coronary syndrome and chest pain in healthy individuals. This case highlights its potential to mimic common cardiac emergencies.
Area of Science:
- Cardiology
- Cardiovascular Medicine
- Clinical Case Study
Background:
- Myocardial bridging is an uncommon congenital anomaly where a segment of a coronary artery travels through the heart muscle.
- It is frequently associated with left ventricular hypertrophy.
- Chest pain is a common emergency department complaint, with diverse etiologies.
Observation:
- A healthy, middle-aged U.S. military service member presented with symptoms suggestive of acute coronary syndrome.
- Standard diagnostic workups were performed to investigate the cause of chest pain.
Findings:
- The patient's acute coronary syndrome was definitively attributed to myocardial bridging.
- This finding underscores myocardial bridging as a potential cause of acute coronary syndrome.
Implications:
- Recognizing myocardial bridging is crucial for accurate diagnosis and management of acute coronary syndrome.
- This case emphasizes the importance of considering uncommon diagnoses in emergency medicine.
- Further research into the clinical significance and management of myocardial bridging is warranted.
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