Science and Education Publishing American Journal of Medical Case Reports 2374-216X 3 6 2015 05 29 A Bridge to Sudden Cardiac Death 181 183 EN Umayr Azimi Internal Medicine, Grand Rapids Medical Education Partners/Michigan State University, Grand Rapids, Michigan, USA Hamza Hashmi AJMCR2015369 10.12691/ajmcr-3-6-9 2015 04 28 2015 05 24 2015 05 29 Coronary arteries normally traverse the epicardium of myocardial tissue. Myocardial bridging occurs when a portion of coronary artery passes intramurally through myocardial tissue. We present a case of pulseless arrest during a bike race in an otherwise healthy individual. Coronary angiography showed extensive myocardial bridging of the mid-LAD and mild anteroapical hypokinesis. The case demonstrates situations when myocardial bridging may be of clinical significance.