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Schwarz, Ernst R., Rajiv Gupta, Philipp K. Haager, JuergenVom Dahl, Heinrich G. Klues, JuergenMinartz, and Barry F. Uretsky. “Myocardial Bridging in Absence of Coronary Artery Disease: Proposal of a New Classification Based on Clinical-Angiographic Data and Long-Term Follow-Up.” Cardiology 112.1 (2009): 13-21.

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Article

A Bridge to Sudden Cardiac Death

1Internal Medicine, Grand Rapids Medical Education Partners/Michigan State University, Grand Rapids, Michigan, USA


American Journal of Medical Case Reports. 2015, Vol. 3 No. 6, 181-183
DOI: 10.12691/ajmcr-3-6-9
Copyright © 2015 Science and Education Publishing

Cite this paper:
Umayr Azimi, Hamza Hashmi. A Bridge to Sudden Cardiac Death. American Journal of Medical Case Reports. 2015; 3(6):181-183. doi: 10.12691/ajmcr-3-6-9.

Correspondence to: Umayr  Azimi, Internal Medicine, Grand Rapids Medical Education Partners/Michigan State University, Grand Rapids, Michigan, USA. Email: umayr.azimi@grmep.com

Abstract

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.

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