JACC. Case reports · 2026
Myocardial Bridging and Cardiac Arrest.
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.
Iyer Karthik V, Hieger Robert J, Rajput Rahul, Raymer Katherine L, Ganesan Ananya P, Khoukaz Souheil, Roukoz Bassam, Mikhail Bassem, Kim Jooho P, Oke Vikram V
Аннотация
BACKGROUND: Myocardial bridging (MB) is a congenital coronary anomaly in which a segment of an epicardial artery tunnels through the myocardium. Although frequently considered benign, MB has been increasingly linked to ischemia, malignant arrhythmias, and sudden cardiac death.
CASE SUMMARY: We describe a case of a 39-year-old woman with mid-left anterior descending artery MB who presented with sudden chest pain followed by cardiac arrest. Coronary angiography revealed MB without obstructive disease. Despite prolonged resuscitation and hypoxic brain injury, she achieved functional recovery after intensive care.
DISCUSSION: We compared our patient with 10 previously published cases of MB-associated cardiac arrest. Patients were typically men with ventricular fibrillation as the universal arrest rhythm, and the left anterior descending artery was most commonly involved, with variable outcomes.
TAKE-HOME MESSAGES: MB should not be regarded as uniformly benign. Recognition of its malignant potential-particularly in patients with no obstructive coronary disease-is critical for diagnosis, management, and secondary prevention.
CASE SUMMARY: We describe a case of a 39-year-old woman with mid-left anterior descending artery MB who presented with sudden chest pain followed by cardiac arrest. Coronary angiography revealed MB without obstructive disease. Despite prolonged resuscitation and hypoxic brain injury, she achieved functional recovery after intensive care.
DISCUSSION: We compared our patient with 10 previously published cases of MB-associated cardiac arrest. Patients were typically men with ventricular fibrillation as the universal arrest rhythm, and the left anterior descending artery was most commonly involved, with variable outcomes.
TAKE-HOME MESSAGES: MB should not be regarded as uniformly benign. Recognition of its malignant potential-particularly in patients with no obstructive coronary disease-is critical for diagnosis, management, and secondary prevention.