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Myocardial bridging (MB) is an anatomical variation characterized by narrowing during systole of some of the epicardial coronary arterial segments running in the myocardium. It can be encountered in 0.5% to 16% of routine coronary angiographies [1]. Although it is considered as a benign anomaly, it may lead to such complications as myocardial ischemia, acute coronary syndromes, coronary spasm, exercise-induced dysrhythmias such as supraventricular tachycardia, ventricular tachycardia, syncope, or even sudden death [2].In this report, we present a previously unreported case of a 51-year-old man with doxazosin-induced acute coronary syndrome, who was diagnosed with myocardial bridging overlying the left anterior descending artery.

A case of doxazosin-induced acute coronary syndrome in a patient with myocardial bridging