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Clinical Implication and Optimal Management of Myocardial Bridging: Role of Cardiovascular Imaging

Takehiro Hashikata1, Ryo Kameda1, Junya Ako1

  • 1Department of Cardiovascular Medicine, Kitasato University School of Medicine, Kanagawa, Japan.

Interventional Cardiology Clinics
|March 15, 2023
PubMed

Insights

Myocardial bridging (MB) is now recognized as a cause of adverse cardiac events, not always benign. Treatment for refractory angina requires individualized assessment using various imaging techniques.

Area of Science:

  • Cardiology
  • Cardiovascular Imaging

Background:

  • Myocardial bridging (MB) was traditionally viewed as asymptomatic.
  • Emerging evidence links MB to adverse cardiac events like angina and atherosclerosis.

Purpose of the Study:

  • To review the clinical implications and management of myocardial bridging.
  • To highlight the role of imaging in assessing MB.

Main Methods:

  • Review of current literature on myocardial bridging.
  • Discussion of diagnostic imaging modalities for MB assessment.

Main Results:

  • MB can cause adverse events through systolic compression, diastolic restriction, and accelerated atherosclerosis.
  • Multidisciplinary diagnostic approaches are essential for MB patients.

Conclusions:

  • Myocardial bridging requires careful evaluation, especially in patients with refractory angina.
  • Individualized treatment strategies informed by imaging are crucial for managing MB.

Keywords:
Coronary computed tomography angiographyIntravascular ultrasoundIschemia with no obstructive coronary arteriesMyocardial bridgeSurgical unroofing

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