Cause of Persistent Chest Pain: Two Myocardial Bridges in a Young Woman

Myocardial bridging is a congenital anatomical anomaly characterized by a coronary artery with an epicardial course that dips into the myocardial tissue before resurfacing on the heart's surface.While it is commonly observed in the left anterior descending coronary artery, it typically occurs in a single coronary artery or a segment thereof.Myocardial bridging is generally asymptomatic and benign; however, in some cases, it can present with symptoms such as chest pain, arrhythmias, myocardial infarction, coronary vasospasm, syncope, and even sudden death.In our case, a patient admitted to our hospital with persistent chest pain for 6 months had myocardial bridges involving two different segments of the left anterior descending artery.Therefore, myocardial bridges should be considered in young patients presenting with angina pectoris.Keywords: Angina pectoris, coronary artery, myocardial bridging Her levels of troponin, hemoglobin, thyroid function, lipid panel, and serum creatinine were all normal.An exercise stress test was performed, which revealed a 0.5 mm ST segment depression in the infero-lateral leads, and the patient reported non-specific chest pain.Considering the mismatch between the symptoms and the exercise stress test findings, a myocardial perfusion scintigraphy was performed.