Intracoronary Electrocardiography During Dobutamine Stress for Functional Assessment of Myocardial Bridging

Yoshichika Miyazaki1, Ami Kimpara1, Mitsuhito Soh1

  • 1Department of Cardiology, NHO Tokyo Medical Center, Tokyo, Japan.

JACC. Case Reports
|May 14, 2026
PubMed

Insights

Myocardial bridging can cause exertional ischemia. Intracoronary ECG during dobutamine stress testing visualized localized ischemia, aiding diagnosis when surface ECG was normal.

Area of Science:

  • Cardiology
  • Diagnostic Imaging
  • Ischemic Heart Disease

Background:

  • Myocardial bridging (MB) can lead to exertional ischemia.
  • Assessing localized ischemia from MB is difficult, especially when surface electrocardiography (ECG) is normal.
Abstract

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