This review summarizes the pathophysiology, diagnostic modalities, and therapeutic options for myocardial bridging.
Patients with myocardial bridges are often asymptomatic but this anomaly may be associated with exertional angina, acute coronary syndromes, cardiac arrhythmias, syncope or even sudden cardiac death. This review presents our understanding of the pathophysiology of myocardial bridging and describes prevailing diagnostic modalities and therapeutic options for this challenging clinical entity. Keywords: Coronary Wall Shear Stress, Intravascular Imaging, Intracoronary Doppler Velocity and Pressure, Myocardial Bridge, Myotomy, Percutaneous Coronary Intervention
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“Our understanding of this condition has certainly evolved from the days of assuming most cases to be benign, but now that we have more accurate tests and treatments, we need larger-scale data to guide clinicians on when and how to treat.”
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Journal of the American College of Cardiology
Emory University
Georgia Institute of Technology
The Wallace H. Coulter Department of Biomedical Engineering
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Corban et al. (Wed,) studied this question.