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Images in Clinical Medicine
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Volume 349:1047 September 11, 2003 Number 11
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Myocardial Bridging

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A 39-year-old man without a history of cardiac disease presented with left-sided chest pain. Myocardial infarction was ruled out. A subsequent stress test revealed no signs of myocardial ischemia. A contrast-enhanced electron-beam tomographic study revealed myocardial bridging of the middle segment of the left anterior descending coronary artery. Panel A shows a right anterior oblique view. There was systolic narrowing with a step-down, step-up phenomenon (arrow) affecting that segment of the artery, distal to the second diagonal branch (asterisk). Panel B shows a left anterior oblique view with maximal-intensity projection of the intramyocardial course of the artery toward the right . . . [Full Text of this Article]

 

Related Letters:

Myocardial Bridging
Paulin S., Eggebrecht H., Möhlenkamp S.
Extract | Full Text | PDF  
N Engl J Med 2003; 349:2466, Dec 18, 2003. Correspondence

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