Myocardial Bridge

A myocardial bridge is a harmless condition where arteries pass through the heart muscles instead of lying on the muscle surface. Chest pain, chest tightness, shortness of breath, fatigue, etc., are some of the symptoms. This condition requires treatment only to subside the symptoms.

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I have the myocardial bridge, and TMT was positive for myocardial ischemia. Please help.

Query: Hi doctor,I went through coronary angiography two years ago. It was completely normal, with no blockage. But I have a myocardial bridge. Two days before, I went for a body check-up where my TMT was positive with the exercise of eight minutes and 106 beats per minute heart rate with no pain or breath...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to I understand your concern. The test can be positive due to myocardial bridging. I suggest you take a tablet of Aspirin 75 mg once a day and a tablet of Metoprolol tartrate 25 mg twice daily, and a keep tablet Glyceryl trinitrate in your pocket. Put one tab of 0.5 mg un...  Read Full »

What is the difference between myocardial bridge and NSTEMI?

Query: Hi doctor,I have been suffering from chest pain on and off for quite some time now. The frequency of chest pains has been increasing over the last few months. I had chest pain twice last year before 7 and 14 months. I was hospitalized with chest pain and with mildly elevated troponin T. The discharg...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I thoroughly read your query and understand your concern. Please tell me the following details so that I can help you with the concern: 1) Did NSTEMIs (non-ST segment elevation myocardial infarction) occur after exertion or at rest? 2) What were the symptoms during NST...  Read Full »

What is Ecosprin AV 75 used for?

Query: Hi doctor, Sometimes, my father used to get chest pain. Angiography showed that he has a LAD bridging and vessels are normal and clear. His echo is normal. His BP, blood sugar and cholesterol are normal. After the chest pain, he was given the following medicines for one year. They are Stator, Is...  Read Full »

Dr. Rishu Sharma

Answer: Hi, Welcome to I have noted all details of your father. A myocardial bridge means that a group of muscle fibers are present on the top of coronary artery instead of on the bottom. In almost 40% cases, it is asymptomatic. However, in some patient the bunch of muscles pushes the c...  Read Full »

My partner got AbioCor or AbioMed TAH implanted as a bridge for transplant reasons. Is it safe to use AbioCor TAH?

Query: Hello doctor, My partner has TAH as a bridge for transplant reasons. Before the first one was installed, she had several ICDs that kept malfunctioning and shocked her unwarranted and, at times, severely enough to arrest her heart. The TAH that the doctors are using for her is AbioCor or AbioMed. I r...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to I read your query and can understand your concerns. Regarding ICD (implantable cardioverter-defibrillator) shocks, consult a cardiologist for ICD evaluation and replace it if malfunctioning. AbioCor is used nowadays also, but SynCardia is FDA (food and drug administ...  Read Full »

Is Ecosprin helpful for LAD bridge?

Query: Hi doctor, I have occlusive muscle bridge in LAD 50%, which was detected by angiography. I am on Ecosprin AV 75/20. Will it be helpful? I am 29 years old. Sometimes, I feel pain in my chest.  Read Full »

Dr. Amiya Kumar Chattopadhyay

Answer: Hi, Welcome to I have gone through your angiography (attachment removed to protect patient identity). You need not worry. Please continue medicine and follow up with your cardiologist.Yes, you have myocardial bridging in LAD (left anterior descending artery) and in general coronary arte...  Read Full »

I would like to know more about this condition called myocardial bridge.

Query: Hello doctor,I am a 29 year old male. I have a family history of diabetes, hypertension, and heart disease. I have been experiencing intermittent chest, left arm and left shoulder pain/discomfort with periods of breathlessness for about two years now. I have had ECGs done on a few occasions and doct...  Read Full »

Dr. Amiya Kumar Chattopadhyay

Answer: Hello, Welcome to Myocardial bridging - In your case, one of the heart artery LAD, the mid portion, passes through the cardiac muscles instead of lying on the wall. In the activity, when your heart rate increases due to this problem the blood flow reduce and causes discomfort to you....  Read Full »

How to get relief from chest pain? I'm taking Concor 5 for hypertension.

Query: Hi doctor, I am a 39 year old male. My height is 6 feet and weight is 88 kg. My waist is 36 inches. Around 20 years back, I was heavily into sports and a winner of a gold medal at the national level athletics. Nine months before, I was diagnosed with hypertension and occasional mild chest pain or di...  Read Full »

Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to It is evident that your solution of one problem led to another. Systolic bridging does cause chest pain and also smoking can cause vasospasm that is, constriction of vessels. Hence, the chest pain will be alleviated only if you totally quit smoking. All the doctors who...  Read Full »

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