Key result
A 42-year-old man with myocardial bridging died from malignant ventricular arrhythmia during intense physical activity, highlighting it as a potential cause of sudden death in athletes.
Why the study?
Although myocardial bridging generally has a benign prognosis, it is recognized as a leading cause of sudden death during physical activity among young athletes.
Case Report (n=1)
Highlights myocardial bridging as a potential cause of sudden cardiac death due to malignant ventricular arrhythmia during intense physical activity in otherwise healthy individuals.
Supports considering myocardial bridging in athletes with sudden death; case report leaves open prevalence and screening implications.
Myocardial bridging is a congenital coronary pathology described as a segment of coronary artery which courses through the myocardial wall under the muscle bridge. Although the prognosis of myocardial bridging is benign, sports medicine recognises myocardial bridging as a leading cause of sudden death among young basketball, football and soccer players. The authors report a case of a 42-year-old man who collapsed while playing football. He died notwithstanding prompt medical assistance and cardiopulmonary resuscitation. At autopsy, gross examination of the heart revealed the intramural course of the left anterior descending coronary artery to be 2 cm from its coronary ostial origin. Histological examination of ventricular septal and left myocardium showed early signs of ischaemic injury without disease of small coronary vessels and hypertrophic cardiomyopathy. The cause of the death was due to malignant ventricular arrhythmia during intense physical activity.
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Zerbo et al. (2020) conducted a case report in Myocardial bridging (n=1). Myocardial bridging during intense physical activity was evaluated on Death due to malignant ventricular arrhythmia. A 42-year-old man with myocardial bridging died from malignant ventricular arrhythmia during intense physical activity, highlighting it as a potential cause of sudden death in athletes.
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