Open Access

ARTICLE

Myocardial bridges: Overview of diagnosis and management

Ian S. Rogers^1,2, Jennifer A. Tremmel¹, Ingela Schnittger¹

1 Division of Cardiovascular Medicine, Stanford University, Stanford, California, USA
2 Division of Pediatric Cardiology, Stanford University, Stanford, California, USA

* Corresponding Author: Ian S. Rogers, MD, MPH, Division of Cardiovascular Medicine and Division of Pediatric Cardiology, The Adult Congenital Heart Program at Stanford, Stanford University, 300 Pasteur Drive, H2157, Stanford University, Stanford, CA 94305. Email:

Congenital Heart Disease 2017, 12(5), 619-623. https://doi.org/10.1111/chd.12499

Abstract

A myocardial bridge is a segment of a coronary artery that travels into the myocardium instead of the normal epicardial course. Although it is general perception that myocardial bridges are normal variants, patients with myocardial bridges can present with symptoms, such as exertional chest pain, that cannot be explained by a secondary etiology. Such patients may benefit from individualized medical/ surgical therapy. This article describes the prevalence, clinical presentation, classification, evaluation, and management of children and adults with symptomatic myocardial bridges.

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Keywords

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