Resumen

SUAREZ-GUZMAN, Francisco Javier. Symptomatic myocardial bridging. Rev. virtual Soc. Parag. Med. Int. [online]. 2025, vol.12, n.1, e12142502.  Epub 16-Ene-2025. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2025.e12142502.

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.

Palabras clave : myocardial bridging; coronary vessels; coronary vasospasm; coronary angiography..

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