Author/Authors :
Ambesh, Paurush Department of Internal Medicine - Maimonides Medical Center, New York City, NY, USA , Sharma, Dikshya Department of Internal Medicine - Maimonides Medical Center, New York City, NY, USA , Kapoor, Aditya Department of Cardiology - Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India , Hess, Aviva-Tobin Department of Internal Medicine - Maimonides Medical Center, New York City, NY, USA , Shetty, Vijay Department of Cardiology - Maimonides Medical Center, New York City, NY, USA , Hollander, Gerald Department of Cardiology - Maimonides Medical Center, New York City, NY, USA , Shani, Jacob Department of Cardiology - Maimonides Medical Center, New York City, NY, USA , Kamholz, Stephan Department of Internal Medicine - Maimonides Medical Center, New York City, NY, USA , Saradna, Arjun Department of Internal Medicine - Maimonides Medical Center, New York City, NY, USA , Akkad, Isaac Department of Internal Medicine - Maimonides Medical Center, New York City, NY, USA , Obiagwu, Chukwudi Department of Cardiology - Maimonides Medical Center, New York City, NY, USA
Abstract :
It is vital to recognize correctly, chest pain of cardiac etiology. Most commonly, it is because of blood supply-demand inequity in the
myocardium. However, the phenomenon of myocardial bridging as a cause of cardiac chest pain has come to attention reasonably
recently. Herein, a coronary artery with a normal epicardial orientation develops a transient myocardial course. If the cardiac
muscle burden is substantial, the respective artery gets compressed during each cycle of systole, thereby impeding blood flow in
the artery. Hence, myocardial bridging has been attributed to as a rare cause of angina. In this case report, the authors discuss a
patient in whom myocardial bridging turned out to be an elusive cause of angina. We wish to underscore the importance of
being clinically mindful of myocardial bridging when assessing a patient with angina