Evidence map›Paper›PMID 42571108›Full record

ArticleCase reports in cardiology2026

Unmasking a Hidden Bridge: Exercise-Induced Right Bundle Branch Block Without Ischemia.

Ana Karen Nieto-Dolores, Hugo Armando Valencia-Hernandez, Alfonso Gonzalez-Trejo, Nilda Espinola-Zavaleta, Enrique C Guerra, Maria Jose Santa-Ana-Bayona, Pavel Martinez-Dominguez, Gilberto H Gutierrez-Acosta, Camila Ponce-Acosta

Abstract read
In one paragraph

Article in Case reports in cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ana Karen Nieto-DoloresFaculty of Medicine, Popular Autonomous University of Puebla, Puebla City, Mexico.ORCID https://orcid.org/0009-0000-9808-2187
Hugo Armando Valencia-HernandezSchool of Medicine, Villa Rica University, Veracruz, Mexico.ORCID https://orcid.org/0009-0005-8436-354X
Alfonso Gonzalez-TrejoFaculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico, unam.mx.ORCID https://orcid.org/0009-0009-8347-9523
Nilda Espinola-ZavaletaDepartment of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez, Mexico City, Mexico.ORCID https://orcid.org/0000-0002-4820-1325
Enrique C GuerraMD-PhD (PECEM) Program, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico, unam.mx.ORCID https://orcid.org/0000-0003-0677-9935
Maria Jose Santa-Ana-BayonaMexican Faculty of Medicine, La Salle University, Mexico City, Mexico, lasalle.edu.ORCID https://orcid.org/0009-0008-3476-9711
Pavel Martinez-DominguezDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA, mayo.edu.ORCID https://orcid.org/0009-0008-2821-9692
Gilberto H Gutierrez-AcostaInstitute of Biomedical Science, Autonomous University of Juarez City, Nuevo Casas Grandes, Chihuahua, Mexico, uacj.mx.ORCID https://orcid.org/0009-0007-0569-7029
Camila Ponce-AcostaMexican Faculty of Medicine, La Salle University, Mexico City, Mexico, lasalle.edu.ORCID https://orcid.org/0009-0006-3090-6681

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Myocardial bridging (MB) is usually benign but may occasionally be associated with ischemia or arrhythmias. Exercise induced conduction abnormalities are rare and poorly understood. Case Summary: A 69-year-old asymptomatic male developed transient right bundle branch block (RBBB) at peak exertion during treadmill stress testing, without angina, ischemic ECG changes, or hemodynamic instability. The RBBB resolved immediately during recovery. Coronary computed tomography angiography identified a superficial myocardial bridge of the mid-left anterior descending artery without luminal narrowing or atherosclerosis. Discussion: The findings supported a benign, rate dependent conduction delay rather than ischemia. Conclusion: This case illustrates a rare coexistence of MB with exercise-induced RBBB and highlights the importance of recognizing nonischemic conduction phenomena to avoid unnecessary invasive studies.

Indexed as

coronary CT angiographyexercise stress testmyocardial bridgingrate-dependent conduction abnormalityright bundle branch block

Identifiers

PMID42571108
PMCPMC13451617

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.