Open AccessA Case of Symptomatic Myocardial Bridge Treated with Calcium Channel Blocker
Author(s) -
Arash Nemat,
Atiqullah Majeedi,
Abdul Wahed Sediqi,
Qingchun Zeng
Publication year - 2022
Publication title -
international medical case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.198
H-Index - 11
ISSN - 1179-142X
DOI - 10.2147/imcrj.s360819
Subject(s) - myocardial bridge , medicine , asymptomatic , chest pain , calcium channel blocker , cardiology , bridge (graph theory) , artery , coronary angiography , stenosis , myocardial ischemia , ischemia , calcium , myocardial infarction
Myocardial bridge (MB) is a congenital coronary anomaly in which a portion of the coronary artery courses intramyocardium instead of the normal trajectory on the epicardial surface. We report a case study with a 44-year-old man from Faryab Province in Afghanistan who presented chest pain and dizziness while suffering a common cold. After full investigation, the patient underwent coronary angiography which showed a myocardial bridge at the middle portion of the left anterior descending artery (LAD) with a significant stenosis causing ischemia. We treated the patient with a calcium channel blocker as initial treatment. The patient tolerated the medication well and remained asymptomatic during two years follow-up.