Unusual Sign from an Unusual Cause: Wellens' Syndrome due to Myocardial Bridging

Case Reports in Cardiology
Paurush AmbeshChukwudi Obiagwu

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.

References

Nov 13, 2002·Circulation·Stefan MöhlenkampRaimund Erbel
Nov 23, 2012·Interactive Cardiovascular and Thoracic Surgery·Saina AttaranJon Anderson
Mar 4, 2014·Journal of the American College of Cardiology·Michel T CorbanHabib Samady
Dec 23, 2016·Journal of the American College of Cardiology·Giuseppe TarantiniSabino Iliceto

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Citations

Nov 27, 2018·QJM : Monthly Journal of the Association of Physicians·S RamanathanM A Heidous
Jan 19, 2022·Journal of Investigative Medicine High Impact Case Reports·David MilneNaveen Anand Seecheran

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Methods Mentioned

BETA
coronary artery bypass
dissection

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