International Medical Case Reports Journal (May 2022)
A Case of Symptomatic Myocardial Bridge Treated with Calcium Channel Blocker
Abstract
Arash Nemat,1– 3 Atiqullah Majeedi,2 Abdul Wahed Sediqi,2,4 Qingchun Zeng1 1Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, People’s Republic of China; 2Department of Cardiology, Ariana Medical Complex, Kabul, Afghanistan; 3Department of Microbiology, Kabul University of Medical Sciences, Kabul, Afghanistan; 4Department of Cardiology, Ali Abad Teaching Hospital, Kabul University of Medical Sciences, Kabul, AfghanistanCorrespondence: Qingchun Zeng, Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, People’s Republic of China, Email [email protected] Arash Nemat, Department of Cardiology, Ariana Medical Complex, Kabul, Afghanistan, Email [email protected]: Myocardial bridge (MB) is a congenital coronary anomaly in which a portion of the coronary artery courses intramyocardium instead of the normal trajectory on the epicardial surface. We report a case study with a 44-year-old man from Faryab Province in Afghanistan who presented chest pain and dizziness while suffering a common cold. After full investigation, the patient underwent coronary angiography which showed a myocardial bridge at the middle portion of the left anterior descending artery (LAD) with a significant stenosis causing ischemia. We treated the patient with a calcium channel blocker as initial treatment. The patient tolerated the medication well and remained asymptomatic during two years follow-up.Keywords: myocardial bridge, coronary angiography, case report
