Copyright © 1980 by the European Society of Cardiology.
© 1980 The European Society of Cardiology
Myocardial bridges and ischemic heart disease
Department of Cardiology University Hospital of Verona, Italy
Received 27 March 1980; revised 12 May 1980; .
Requests for reprints to: Prof. A. Poppi, Department of Cardiology, University Hospital of Verona, Verona, Italy.
The clinical, electrocardiographs and angiocardiographic data are reported of 37 patients with myocardial bridges, in the absence of coronary atherosclerosis. An intramyocardial course of the left anterior descending coronary artery was present in all cases: myocardial bridges on the posterior descending and first diagonal branch were associated in one patient.
The clinical presentation was that of ischemic heart disease in all cases, with stable angina in nine, unstable angina in 19, the intermediate syndrome in five, and a history or evidence of previous myocardial infarction in four.
In 20 cases, left ventricular wall motion appeared to be abnormal on the antero-lateral or apical profile.
One patient died suddenly the day following hospital discharge; of 27 patients followed over a 3–36 month interval, only four (15%) were free of symptoms on medical treatment.
The frequent association of myocardial bridges with a clinical picture of ischemic heart disease which is sometimes severe, is emphasized together with the disappointing results of medical treatment.
Key Words: Coronary arteriography • left ventriculography • exercise testing
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  P. J. Kim, G. Hur, S. Y. Kim, J. Namgung, S. W. Hong, Y. H. Kim, and W. R. Lee Frequency of Myocardial Bridges and Dynamic Compression of Epicardial Coronary Arteries: A Comparison Between Computed Tomography and Invasive Coronary Angiography Circulation, March 17, 2009; 119(10): 1408 - 1416. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A R ZEINA, A SHEFER, D SHARIF, U ROSENSCHEIN, and E BARMEIR Acute myocardial infarction in a young woman with normal coronary arteries and myocardial bridging Br. J. Radiol., May 1, 2008; 81(965): e141 - e144. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Leschka, P. Koepfli, L. Husmann, A. Plass, R. Vachenauer, O. Gaemperli, T. Schepis, M. Genoni, B. Marincek, F. R. Eberli, et al. Myocardial Bridging: Depiction Rate and Morphology at CT Coronary Angiography--Comparison with Conventional Coronary Angiography Radiology, March 1, 2008; 246(3): 754 - 762. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M Pasotti, F Prati, and E Arbustini The pathology of myocardial infarction in the pre- and post-interventional era Heart, November 1, 2006; 92(11): 1552 - 1556. [Full Text] [PDF]
|
|
|
|
 |
|
 J. R. Alegria, J. Herrmann, D. R. Holmes Jr, A. Lerman, and C. S. Rihal Myocardial bridging Eur. Heart J., June 2, 2005; 26(12): 1159 - 1168. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Herrmann, S. T. Higano, R. J. Lenon, C. S. Rihal, and A. Lerman Myocardial bridging is associated with alteration in coronary vasoreactivity Eur. Heart J., December 1, 2004; 25(23): 2134 - 2142. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Mohlenkamp, W. Hort, J. Ge, and R. Erbel Update on Myocardial Bridging Circulation, November 12, 2002; 106(20): 2616 - 2622. [Full Text] [PDF]
|
|
|
|
|
|
J Ge, A Jeremias, A Rupp, M Abels, D Baumgart, F Liu, M Haude, G Gorge, C Von Birgelen, S Sack, et al. New signs characteristic of myocardial bridging demonstrated by intracoronary ultrasound and Doppler Eur. Heart J., December 1, 1999; 20(23): 1707 - 1716. [Abstract] [PDF]
|
|
|
|
 |
|
 E. S. Yee Operative Management of Symptomatic MB Vascular and Endovascular Surgery, September 1, 1990; 24(7): 453 - 459. [Abstract] [PDF]
|
|