ArticleEuropean heart journal supplements : journal of the European Society of Cardiology2022
The myocardial bridge: incidence, diagnosis, and prognosis of a pathology of uncertain clinical significance.
Article in European heart journal supplements : journal of the European Society of Cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 25 citations in OpenAlex.
- Ranolazine as an adjunct to standard therapy for angina in myocardial bridging: a randomized clinical trial.Scientific reports · 2026Trial
- A Tough Bridge to Cross: Myocardial Bridging Associated With Dehydration-Induced Ischemia in an Endurance Athlete.Cureus · 2026Article
- Combined CCTA and Stress CTP for Anatomical and Functional Assessment of Myocardial Bridges.Journal of imaging · 2025Article
- The Role of MDCT Coronary Angiography in the Detection of Benign Varieties and Anomalies of Coronary Blood Vessels-A Narrative Review.Medicina (Kaunas, Lithuania) · 2025Review
- Coronary Artery Spasm: From Physiopathology to Diagnosis.Life (Basel, Switzerland) · 2025Review
- Comprehensive Review of Coronary Artery Anatomy Relevant to Cardiac Surgery.Current cardiology reviews · 2025Review
- Myocardial Bridging, Unusual Cause of Myocardial Infarction; Case Report and Review of Literature.Clinical case reports · 2025Article
- Morphological analysis of myocardial bridging leading to myocardial ischemia: myocardial coronary coupling.Frontiers in bioengineering and biotechnology · 2025Article
- Clinical and CT Features, Clinical Management, and Decision on Sport Eligibility of Professional Athletes with Congenital Coronary Anomalies: A Case Series Study.Journal of cardiovascular development and disease · 2024Article
- The effects of myocardial bridging on two-dimensional myocardial strain during dobutamine stress echocardiography.The international journal of cardiovascular imaging · 2024Article
- Myocardial Bridge and Atherosclerosis, an Intimal Relationship.Current atherosclerosis reports · 2024Review
- Evaluating Ischemic Heart Disease in Women: Focus on Angina With Nonobstructive Coronary Arteries (ANOCA).Journal of the Society for Cardiovascular Angiography & Interventions · 2024Review
- High Prevalence of Myocardial Bridging Detected in an Indonesian Population Using Multi-Detector Computed Tomography.Medicina (Kaunas, Lithuania) · 2024Article
- Quantitative analysis of the relationship between the myocardial bridge and the FAI of pericoronal fat on computed tomography.Scientific reports · 2024Article
- Stress-rest dynamic-CT myocardial perfusion imaging in the management of myocardial bridging: A "one-stop shop" exam.Journal of cardiology cases · 2023Article
- Article
- MINOCA Associated with a Myocardial Bridge: Pathogenesis, Diagnosis and Treatment.Journal of clinical medicine · 2023Review
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The myocardial bridge (MB) is a common anomaly of the coronary tree, very often clinically silent. The artery typically involved is the left anterior descending in its proximal and/or middle portion. MB can cause ischaemia with various mechanisms, directly proportional to the degree of compression of the intra-myocardial tract, which impairs the coronary flow. It is a dynamic phenomenon that is affected by the adrenergic tone and is therefore often brought by physical exercise. MB, when symptomatic, often begins with angina from exertion; some patients have more severe conditions such as unstable angina or myocardial infarction. Coronary vasospasm related to MB-induced endothelial dysfunction can explain a number of cases that come to observation even with catastrophic pictures such as ventricular fibrillation caused by ischaemia. The diagnostic workup includes the non-invasive study using computed tomography angiography and the invasive study of the haemodynamic impact using pressure and Doppler guides. In symptomatic cases, drug therapy with a beta-blocker is enough to manage angina. When it fails, there is the option of coronary angioplasty or surgical treatment techniques.
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