Vasospasm and myocardial bridge

Can J Cardiol. 2003 Nov;19(12):1440-2.

Abstract

Two cases are discussed where vasospasm was induced at the level of myocardial bridges in patients with a recent myocardial infarction. A review of the clinical significance of myocardial bridges is presented. It is hypothesized that myocardial bridges may predispose to vasospasm; therefore, testing for vasospasm in patients with otherwise normal coronary angiograms is suggested.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Calcium Channel Blockers / therapeutic use
  • Coronary Angiography
  • Coronary Vasospasm / diagnostic imaging
  • Coronary Vasospasm / drug therapy
  • Coronary Vasospasm / etiology*
  • Coronary Vessels / anatomy & histology
  • Heart Defects, Congenital / complications*
  • Heart Defects, Congenital / diagnostic imaging
  • Heart Defects, Congenital / drug therapy
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / diagnostic imaging
  • Myocardial Infarction / drug therapy
  • Myocardial Infarction / etiology*
  • Nitrates / therapeutic use
  • Treatment Outcome
  • Vasodilator Agents / therapeutic use

Substances

  • Calcium Channel Blockers
  • Nitrates
  • Vasodilator Agents