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Article Abstract
Rationale: Myocardial bridge (MB), where a coronary artery segment is overlaid by myocardium, is often asymptomatic but can lead to serious complications. This case highlights a rare electrocardiographic manifestation of MB: resting ST-segment depression when transitioning from a supine to a standing position.
Patient Concerns: A 39-year-old male with no significant medical history presented with intermittent, nonexertional chest pain. His resting electrocardiogram was normal in the supine position but showed ST-segment depression in leads II, III, aVF, and V5-V6 when standing.
Diagnoses: Coronary angiography confirmed a MB in the left anterior descending artery.
Interventions: The patient was managed with beta-blockers, aspirin, and rosuvastatin therapy.
Outcomes: After 8 months of follow-up, no complications or cardiac symptoms were observed.
Lessons: This case underscores the importance of recognizing positional ST-segment changes as a potential indicator of MB, offering valuable insights into the diagnosis and management of this condition.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12074119 | PMC |
| http://dx.doi.org/10.1097/MD.0000000000041981 | DOI Listing |
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