Key result
Myocardial bridging warrants consideration as an elusive cause of angina in cardiac chest pain.
Why the study?
Myocardial bridging has recently been recognized as a rare and elusive cause of angina due to transient systolic compression of a coronary artery.
Case Report (n=1)
Myocardial bridging merits consideration in unexplained chest pain; leaves open its prevalence, risk stratification, and management.
It is vital to recognize correctly, chest pain of cardiac etiology. Most commonly, it is because of blood supply-demand inequity in the myocardium. However, the phenomenon of myocardial bridging as a cause of cardiac chest pain has come to attention reasonably recently. Herein, a coronary artery with a normal epicardial orientation develops a transient myocardial course. If the cardiac muscle burden is substantial, the respective artery gets compressed during each cycle of systole, thereby impeding blood flow in the artery. Hence, myocardial bridging has been attributed to as a rare cause of angina. In this case report, the authors discuss a patient in whom myocardial bridging turned out to be an elusive cause of angina. We wish to underscore the importance of being clinically mindful of myocardial bridging when assessing a patient with angina.
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Ambesh et al. (2018) conducted a case report in Angina (n=1). Myocardial bridging was evaluated. Myocardial bridging can act as an elusive cause of angina and should be considered when assessing patients with cardiac chest pain.
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