Update review on myocardial bridging: New insights

Matta, Anthony; Roncalli, Jérôme; Carrié, Didier

doi:10.1016/j.tcm.2022.06.002

Cited by 14 publications

(10 citation statements)

References 82 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, no statistically significant difference was found in the FFRCT values in patients with MB between the systolic and diastolic phases. Narrowing of the MB is dynamic, although mechanical compression is the main pathophysiological mechanism leading to myocardial ischemia (Matta et al, 2022). MB‐caused luminal narrowing of the MB coronary arterial segment during the systolic phase can extend to the middle and even the late diastolic phase (Bourassa et al, 2003), thus affecting the blood flow in both the systolic and diastolic phases (Ge et al, 1994).…”

Section: Discussionmentioning

confidence: 99%

“…Coronary myocardial bridging (MB) is a congenital abnormality of the coronary artery and occurs most often in the proximal and middle segment of the left anterior descending artery (LAD) (Matta et al, 2022). The MB is usually considered as a benign incidental discovery (Sternheim et al, 2021), however, some MB patients without obstructive coronary artery disease still experience symptoms and even sudden cardiac death (Rogers et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Quantitative computed tomography angiography evaluation of the coronary fractional flow reserve in patients with left anterior descending artery myocardial bridging

Zhang,

Tian,

et al. 2024

Clin Physio Funct Imaging

View full text Add to dashboard Cite

PurposeTo quantitatively investigate the effect of myocardial bridge (MB) in the left anterior descending artery (LAD) on the fractional flow reserve (FFR).Materials and MethodsThree‐hundred patients with LAD MB who had undergone coronary artery CT angiography (CCTA) were retrospectively enroled, and 104 normal patients were enroled as the control. The CCTA‐derived fractional flow reserve (FFRCT) was measured at the LAD 10 mm proximal (FFR1) and 20–40 mm distal (FFR3) to the MB and at the MB location (FFR2).ResultsFFR2 and FFR3 of the MB (with BM only) and MBLA (with both MB and atherosclerosis) groups were significantly (p < 0.01) lower than those of the control. The FFR3 distal to the MB was significantly lower (p < 0.01) than that of the control. The FFRCT of the whole LAD in the MBLA group was significantly (p < 0.05) lower than that of the MB and control group (p < 0.05). MB length (OR 1.061) and MB muscle index (odds ratio or OR 1.007) were two risk factors for abnormal FFRCT, and MB length was a significant independent risk factor for abnormal FFRCT (OR = 1.077). LAD stenosis degree was a risk factor for abnormal FFRCT values (OR 3.301, 95% confidence interval [CI] 1.441–7.562, p = 0.005) and was also a significant independent risk factor (OR = 3.369, 95% CI: 1.392–8.152; p = 0.007) for abnormal FFRCT.ConclusionMB significantly affects the FFRCT of distal coronary artery. For patients with MB without atherosclerosis, the MB length is a risk factor significantly affecting FFRCT, and for patients with MB accompanied by atherosclerosis, LAD stenotic severity is an independent risk factor for FFRCT.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Quantitative computed tomography angiography evaluation of the coronary fractional flow reserve in patients with left anterior descending artery myocardial bridging

Zhang,

Tian,

et al. 2024

Clin Physio Funct Imaging

View full text Add to dashboard Cite

show abstract

“…MB is a condition in which the coronary artery is internal, instead of its natural course through the epicardium. Recently, an association was reported between MB and MINOCA 43,44) . The true prevalence of MB is not accurately known; however, it is likely to be present in approximately one in three adults 45) .…”

Section: Myocardial Bridging (Mb)mentioning

confidence: 96%

Current Overview of Myocardial Infarction with Non-Obstructive Coronary Arteries

Otsuka,

Ishii,

Ikebe

et al. 2024

Journal of Coronary Artery Disease

View full text Add to dashboard Cite

The concept and diagnosis of MINOCA Recent advancements in the medical field have significantly improved the diagnosis and treatment of ischemic heart disease (IHD). These advancements include therapeutic interventions targeting primary and secondary prevention, particularly antiplatelet-based antithrombotic therapy. Furthermore, management of lifestyle-associated diseases, including dyslipidemia, diabetes, and hypertension, has been emphasized. The introduction of high-sensitivity cardiac troponin measurement systems has enhanced detection of minor myocardial injuries. In addition, the accuracy of coronary computed tomography (CT) angiography has substantially improved. Other notable technological innovations in cardiac catheterization procedures, such as coronary angiography (CAG) and percutaneous coronary intervention (PCI), have also been developed. In the context of acute myocardial infarction (AMI), improved medical access and healthcare infrastructure have enabled rapid CAG and PCI to be performed in most medical institutions. This has led to significant improvements in the outcomes of AMI treatment. Recently, myocardial infarction without coronary artery obstruction (known as myocardial infarction with non-obstructive coronary arteries [MINOCA]) has gained recognition. This recognition came with the establishment of a medical system that allowed emergency CAG and reperfusion therapy for myocardial infarction with coronary artery disease (MI-CAD). Consequently, challenges in the diagnosis and treatment of MINOCA have arisen.

show abstract

“…The treatment of asymptomatic patients is generally not advised, whereas cardiac surgery may be a viable option for individuals with refractory angina. Patient-reported symptoms are often subjective in nature, and definitive guidelines or clinical trials are lacking for the pre-surgical evaluation of patients with MB [18]. In the case, patient exhibited a systolic compression ratio of 90% in the left anterior descending MB.…”

Section: Mcg For Evaluating Treatment Options For Patients With Mbmentioning

confidence: 99%

Case Report: Optical Pumped Magnetometer Magnetocardiography as a Potential Method of Therapy Monitoring in Fulminant Myocarditis

Yang,

Zhang

et al. 2024

CVIA

View full text Add to dashboard Cite

Background: Fulminant myocarditis (FM) is associated with high mortality and an unfavorable long-term prognosis. However, noninvasive, rapid diagnostic and monitoring methods for FM are lacking. Case summary: This report details the case of a patient diagnosed with FM through a comprehensive assessment involving typical clinical symptoms, laboratory analyses, echocardiographic evidence, and cardiac magnetic resonance (CMR) findings. Before the patient underwent CMR, optical pumped magnetometer magnetocardiography (OPM-MCG) revealed abnormalities characteristic of substantial myocardial injury. After invasive coronary angiography, the patient’s coronary arteries were determined not to exhibit significant stenosis. Additionally, a myocardial bridge was observed in the middle segment of the anterior descending branch of the left coronary artery. Over a 7-month follow-up, the patient’s symptoms showed marked improvement, and the OPM-MCG eventually normalized, aligning with the findings indicated by the CMR. Conclusion: OPM-MCG is a valuable tool for therapy monitoring in FMs, offering a safe, non-invasive, and highly effective test for ancillary diagnostics and long-term prognostic follow-up. Additionally, MCG may potentially assist in clinical decision-making regarding the need for further interventions in patients with myocardial bridge.

show abstract

Update review on myocardial bridging: New insights

Cited by 14 publications

References 82 publications

Quantitative computed tomography angiography evaluation of the coronary fractional flow reserve in patients with left anterior descending artery myocardial bridging

Quantitative computed tomography angiography evaluation of the coronary fractional flow reserve in patients with left anterior descending artery myocardial bridging

Current Overview of Myocardial Infarction with Non-Obstructive Coronary Arteries

Case Report: Optical Pumped Magnetometer Magnetocardiography as a Potential Method of Therapy Monitoring in Fulminant Myocarditis

Contact Info

Product

Resources

About