<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932025000100402</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2025.e12142502</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Puente miocárdico sintomático]]></article-title>
<article-title xml:lang="en"><![CDATA[Symptomatic myocardial bridging]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez-Guzmán]]></surname>
<given-names><![CDATA[Francisco Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Extremadura Departamento Terapéutica Médico-Quirúrgica ]]></institution>
<addr-line><![CDATA[Badajoz ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>12</volume>
<numero>1</numero>
<fpage>402</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932025000100402&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932025000100402&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932025000100402&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El puente miocárdico (PM) es una frecuente alteración anatómica congénita, donde un segmento de una arteria coronaria toma un trayecto intramiocárdico. Se presenta caso clínico de varón de 56 años, deportista, con síndrome de apnea del sueño, episodios de fibrilación auricular, sensación de mareo al realizar esfuerzos leves/moderados, aumento de la opresión torácica y falta de aire, diagnosticado de ángor en relación a PM y efecto milking. Su prevalencia se estima en más del 30% de la población. Aunque la mayoría de los pacientes son asintomáticos, pueden experimentar angina de esfuerzo, síndrome coronario agudo, arritmia cardiaca, síncope o muerte súbita. No existe una prueba gold standard diagnóstica, siendo utilizadas tanto pruebas invasivas como no invasivas. El médico de cabecera debe estar familiarizado con estas patologías, para efectuar una actuación precoz y certera, dada sus posibles letales complicaciones en caso de retraso o error en el diagnóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Myocardial bridging (MB) is a frequent congenital anatomical alteration in which a coronary artery segment takes an intramyocardial pathway. A clinical case of a 56-year-old male athlete is presented who experienced sleep apnea syndrome, episodes of atrial fibrillation, dizziness on mild/moderate exertion, increased chest tightness and shortness of breath, diagnosed with angina concerning MB and milking effect. Its prevalence is estimated at more than 30% of the population. Although most patients are asymptomatic, they may experience exertional angina, acute coronary syndrome, cardiac arrhythmia, syncope, or sudden death. There is no gold standard diagnostic test and both invasive and non-invasive tests are used. The general practitioner should be familiar with these pathologies to take early and accurate action, given their possible lethal complications in case of delay or error in diagnosis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[puente miocárdico]]></kwd>
<kwd lng="es"><![CDATA[vasos coronarios]]></kwd>
<kwd lng="es"><![CDATA[vasoespasmo coronario]]></kwd>
<kwd lng="es"><![CDATA[angiografía coronaria]]></kwd>
<kwd lng="en"><![CDATA[myocardial bridging]]></kwd>
<kwd lng="en"><![CDATA[coronary vessels]]></kwd>
<kwd lng="en"><![CDATA[coronary vasospasm]]></kwd>
<kwd lng="en"><![CDATA[coronary angiography.]]></kwd>
</kwd-group>
</article-meta>
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