Myocardial Bridging as a Trigger in Angina With No Obstructive Coronary Artery Disease

We present 2 patients with angina with no obstructive coronary artery disease and concomitant myocardial bridging. Despite maximal tolerated pharmacotherapy, symptoms remained. Invasive anatomical and hemodynamic assessment identified myocardial bridging as a contributing cause of angina. Following...

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Bibliographic Details
Published in:JACC. Case reports Vol. 29; no. 13; p. 102382
Main Authors: Beijk, Marcel A.M., Woudstra, Janneke, Vink, A. Suzanne, Bijsterveld, Nick R., de Lind van Wijngaarden, Robert A.F., Klautz, Robert J.M.
Format: Journal Article
Language:English
Published: Netherlands Elsevier Inc 03.07.2024
Elsevier
Subjects:
angina with no obstructive coronary artery disease
Cardiovascular
Case Report
myocardial bridging
myotomy
surgical unroofing
vasospastic angina
CTA
angina with no obstructive coronary artery disease
vasospastic angina
MB
ANOCA
CAG
ECG
surgical unroofing
IVUS
ICFT
myocardial bridging
myotomy
intravascular ultrasound
computed tomography angiography
electrocardiogram
intracoronary function testing
coronary angiography
ISSN:2666-0849, 2666-0849
Online Access:Get full text
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Summary:We present 2 patients with angina with no obstructive coronary artery disease and concomitant myocardial bridging. Despite maximal tolerated pharmacotherapy, symptoms remained. Invasive anatomical and hemodynamic assessment identified myocardial bridging as a contributing cause of angina. Following heart team discussion, both patients underwent successful coronary artery unroofing of the left anterior descending artery. [Display omitted]
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2024.102382