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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
PubMed

Insights

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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