4.7 Review

Myocardial Bridging Contemporary Understanding of Pathophysiology With Implications for Diagnostic and Therapeutic Strategies

Journal

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
Volume 63, Issue 22, Pages 2346-2355

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jacc.2014.01.049

Keywords

coronary wall shear stress; intracoronary Doppler velocity and pressure; intravascular imaging; myocardial bridge; myotomy; percutaneous coronary intervention

Funding

  1. Ruth L. Kirschstein National Research Service Awards training grant [5T32HL007745]
  2. National Heart, Lung, and Blood Institute of the National Institutes of Health [P01HL101398]
  3. American Heart Association Postdoctoral Fellowship [11POST7210012]
  4. Volcano Corp.
  5. St. Jude Medical, Toshiba
  6. Forest Pharmaceuticals

Ask authors/readers for more resources

Patients with myocardial bridging are often asymptomatic, but this anomaly may be associated with exertional angina, acute coronary syndromes, cardiac arrhythmias, syncope, or even sudden cardiac death. This review presents our understanding of the pathophysiology of myocardial bridging and describes prevailing diagnostic modalities and therapeutic options for this challenging clinical entity. (C) 2014 by the American College of Cardiology Foundation

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