A Young Adult With Myocardial Bridging: A Case Report

Myocardial bridging (MB) is a condition where the coronary artery is intramural instead of its natural course through the epicardium. Here, we present a case of a 25-year-old male without any medical history who presented with intermittent substernal chest discomfort on exertion. EKG was suggestive...

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Veröffentlicht in:	Curēus (Palo Alto, CA) CA), 2023-07, Vol.15 (7), p.e41452
Hauptverfasser:	Bansro, Varinder, Gurbakhshani, Marvi, Siddiq, Haaris, Shetty, Rajendra
Format:	Artikel
Sprache:	eng
Schlagworte:	Angina pectoris Atherosclerosis Beta blockers Cardiac arrhythmia Cardiac catheterization Cardiac/Thoracic/Vascular Surgery Cardiology Case reports Coronary vessels Electrocardiography Emergency medical care Heart attacks Heart rate Internal Medicine Intubation Ischemia Medical imaging Pain Patients Sinuses Tomography Ultrasonic imaging Veins & arteries Young adults
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Beschreibung
Zusammenfassung:	Myocardial bridging (MB) is a condition where the coronary artery is intramural instead of its natural course through the epicardium. Here, we present a case of a 25-year-old male without any medical history who presented with intermittent substernal chest discomfort on exertion. EKG was suggestive of ST changes in leads V1-V4 with right axis deviation. A left heart catheterization revealed myocardial bridging of the midportion of the left anterior descending artery. Myocardial bridging is commonly not associated with severe complications. However, it is imperative to diagnose it appropriately, especially in cases of chest pain, and provide immediate treatment to prevent mortality and morbidity.
ISSN:	2168-8184 2168-8184
DOI:	10.7759/cureus.41452