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      Myocardial bridging: contemporary understanding of pathophysiology with implications for diagnostic and therapeutic strategies.

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          Abstract

          Patients with myocardial bridging are often asymptomatic, but this anomaly may be associated with exertional angina, acute coronary syndromes, cardiac arrhythmias, syncope, or even sudden cardiac death. This review presents our understanding of the pathophysiology of myocardial bridging and describes prevailing diagnostic modalities and therapeutic options for this challenging clinical entity.

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          Author and article information

          Journal
          J. Am. Coll. Cardiol.
          Journal of the American College of Cardiology
          1558-3597
          0735-1097
          Jun 10 2014
          : 63
          : 22
          Affiliations
          [1 ] Andreas Gruentzig Cardiovascular Center, Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
          [2 ] Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, Georgia.
          [3 ] Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
          [4 ] Andreas Gruentzig Cardiovascular Center, Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia. Electronic address: hsamady@emory.edu.
          Article
          S0735-1097(14)01107-3 NIHMS568314
          10.1016/j.jacc.2014.01.049
          4065198
          24583304
          8ed1da45-ba30-466e-8ef0-cc6bb34df169
          Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
          History

          coronary wall shear stress,intracoronary Doppler velocity and pressure,intravascular imaging,myocardial bridge,myotomy,percutaneous coronary intervention

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