What causes myocardial bridge?

Myocardial bridging occurs when the heart is malformed, with a bridge of muscle fibers overlying a section of a coronary artery, usually the left anterior descending (LAD) artery. When the heart beats, the artery is squeezed and normal blood flow is disrupted during both the pumping and relaxed cycles.

Is myocardial bridge life threatening?

Myocardial bridges have traditionally been considered a benign condition, but recent studies have demonstrated that the clinical complications can be dangerous; these complications include acute coronary syndromes, arrhythmias (including supraventricular tachycardia and ventricular tachycardia), exercise-induced …

How rare is myocardial bridge?

Coronary arteries typically run a subepicardial course; however, they sometimes tunnel intramurally through the myocardium in an anatomic variant known as myocardial bridging (MB). The exact prevalence of MB is unknown. It is seen in 5–58% of autopsies and on average it is present in one-third of all adults.

Is myocardial bridging common?

Myocardial bridges are common and generally benign. Exercise and tachycardia can provoke symptoms and ischemia.

Can myocardial bridge cause death?

Myocardial bridge refers to the myocardial tissue with which the coronary artery is partly covered. Though it has long been regarded to be benign, patients with myocardial bridges may present with myocardial ischemia, acute coronary syndromes, coronary spasm, sudden cardiac arrest or even sudden death.

Is a myocardial bridge genetic?

Dear Sondra: Myocardial bridging is present in 10 to 15% of autopsies. It is more frequent when the cardiac muscle is thick (like in hypertension). It is usually benign and as far as I know, not hereditary. Consult with your doctor about getting blood pressures under control – an important factor in everyone’s health.

Is myocardial bridge genetic?

Is myocardial bridge a heart disease?

A myocardial bridge is a usually harmless condition in which one or more of the coronary arteries goes through the heart muscle instead of lying on its surface. Most bridges don’t seem to cause symptoms. However, some people with myocardial bridges can experience angina, or chest pain.

Can you stent a myocardial bridge?

Stent implantation in symptomatic patients with myocardial bridges can ameliorate peak intracoronary systolic pressure and vessel compression, normalize flow and abolish symptoms (42); however, concerns regarding perforation during stent deployment (21,43), stent fracture (44), in-stent restenosis (44-48) and stent …

What are the symptoms of myocardial bridge?

A myocardial bridge is a usually harmless condition in which one or more of the coronary arteries goes through the heart muscle instead of lying on its surface. Most bridges don’t seem to cause symptoms. However, some people with myocardial bridges can experience angina, or chest pain.

What is Heart Bridge surgery?

A coronary artery bypass is a surgery on the heart used for bridging the narrowing of the coronary arteries – the blood vessels that supply the heart with blood.

What is the treatment for myocardial bridge?

In most patients, a myocardial bridge is not treated if it is not causing any symptoms. In patients with symptoms, medicines such as beta-blockers and calcium channel blockers are usually the first line of treatment. In rare cases, patients need surgery to relieve their symptoms.

What is myocardial bridge surgery?

Unroofing the myocardial bridge entails cutting through the heart muscle to uncover the tunneled artery, thus relieving compression on the artery caused by the bridging. The surgery is known to be effective, Boyd said .