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Myocardial bridges: Overview of diagnosis and management

Ian S. Rogers1,2, Jennifer A. Tremmel1, Ingela Schnittger1
1 Division of Cardiovascular Medicine, Stanford University, Stanford, California, USA
2 Division of Pediatric Cardiology, Stanford University, Stanford, California, USA
* Corresponding Author: Ian S. Rogers, MD, MPH, Division of Cardiovascular Medicine and Division of Pediatric Cardiology, The Adult Congenital Heart Program at Stanford, Stanford University, 300 Pasteur Drive, H2157, Stanford University, Stanford, CA 94305. Email:

Congenital Heart Disease 2017, 12(5), 619-623.


A myocardial bridge is a segment of a coronary artery that travels into the myocardium instead of the normal epicardial course. Although it is general perception that myocardial bridges are normal variants, patients with myocardial bridges can present with symptoms, such as exertional chest pain, that cannot be explained by a secondary etiology. Such patients may benefit from individualized medical/ surgical therapy. This article describes the prevalence, clinical presentation, classification, evaluation, and management of children and adults with symptomatic myocardial bridges.


intramyocardial coronary artery, myocardial bridge, myocardial ischemia, sudden cardiac death

Cite This Article

Rogers, I. S., Tremmel, J. A., Schnittger, I. (2017). Myocardial bridges: Overview of diagnosis and management. Congenital Heart Disease, 12(5), 619–623.

This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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