Key result
Myocardial bridging may be associated with severe cardiovascular complications depending on specific morphological characteristics that cause significant hemodynamic obstruction.
This review highlights the morphological characteristics of myocardial bridging that determine significant hemodynamic obstruction and subsequent cardiovascular complications.
Warrants cautious morphological assessment in symptomatic patients; leaves open prospective validation of hemodynamic thresholds.
Myocardial bridging is a common coronary anomaly characterized by the presence of a muscle bridge above an epicardial artery. Although its involvement in the development of severe cardiovascular pathologies is disputed there are many proofs that it may possibly be associated, in particular circumstances, with sudden cardiac death, the development of malignant arrhythmias, atherosclerosis, myocardial infarction, hibernation or stunning, etc. The development of cardiovascular complications is mainly dependent upon the presence of a significant hemodynamic obstruction. In order for a myocardial bridging to determine such an obstruction it must present some specific morphological characteristics which we will present in this article.
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Dermengiu et al. (2010) conducted a review in Myocardial bridging. Myocardial bridging was evaluated. Myocardial bridging may be associated with severe cardiovascular complications depending on specific morphological characteristics that cause significant hemodynamic obstruction.
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