JACC. Case reports · 2026
Myocardial Bridge Causing Ventricular Tachycardia in a Competitive Athlete.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
McClintick Daniel J, Dearani Joseph A, Decker Jamie A, Friedman Eli M
Аннотация
BACKGROUND: Arrhythmias associated with syncope and chest discomfort in competitive athletes include a wide differential. Evaluation of coronary artery anatomy is an essential component of work-up for a potential etiology.
CASE SUMMARY: A competitive high school swimmer presented to sports cardiology clinic with multiple episodes of exertional chest discomfort, syncope, and wide complex tachycardia. Work-up revealed a left anterior descending myocardial bridge of 5 mm depth and 2.5 cm length. After evaluation, he underwent surgical division of the myocardial bridge and returned to sport without symptoms or recurrent episodes of ventricular tachycardia.
DISCUSSION: Myocardial bridging is a common finding that is typically benign; however, it may be underrecognized as a cause for chest discomfort, wide complex tachycardia, syncope, and sudden death in athletes. In the appropriate setting, surgical division of the bridge can be a definitive management strategy for athletes with clinically significant myocardial bridging.
TAKE-HOME MESSAGES: Coronary artery anomalies are a known cause of sudden cardiac arrest in athletes. The coronary arteries should be thoroughly evaluated in any athlete with symptoms concerning for a cardiac etiology. Although commonly benign, a clinically significant myocardial bridge may be an etiology for chest discomfort and syncope in competitive athletes. Surgical division of the bridge is a potential management strategy.
CASE SUMMARY: A competitive high school swimmer presented to sports cardiology clinic with multiple episodes of exertional chest discomfort, syncope, and wide complex tachycardia. Work-up revealed a left anterior descending myocardial bridge of 5 mm depth and 2.5 cm length. After evaluation, he underwent surgical division of the myocardial bridge and returned to sport without symptoms or recurrent episodes of ventricular tachycardia.
DISCUSSION: Myocardial bridging is a common finding that is typically benign; however, it may be underrecognized as a cause for chest discomfort, wide complex tachycardia, syncope, and sudden death in athletes. In the appropriate setting, surgical division of the bridge can be a definitive management strategy for athletes with clinically significant myocardial bridging.
TAKE-HOME MESSAGES: Coronary artery anomalies are a known cause of sudden cardiac arrest in athletes. The coronary arteries should be thoroughly evaluated in any athlete with symptoms concerning for a cardiac etiology. Although commonly benign, a clinically significant myocardial bridge may be an etiology for chest discomfort and syncope in competitive athletes. Surgical division of the bridge is a potential management strategy.