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Left anterior descending artery myocardial bridge manifesting as episodic, symptomatic exertional non-sustained ventricular tachycardia
  1. Surya Kiran Aedma1,
  2. Muhammad Hasib Khalil1,
  3. Adams Abigail1 and
  4. Randolph S Martin2
  1. 1Internal Medicine, Carle Illinois College of Medicine, Urbana, Illinois, USA
  2. 2Cardiologist, Carle Foundation Hospital, Urbana, Illinois, USA
  1. Correspondence to Dr Surya Kiran Aedma; aedmasuryakiran{at}gmail.com

Abstract

A 48-year-old man presented to the emergency department (ED) with exertional chest pressure associated with palpitations and lightheadedness. He was found to have non-sustained ventricular tachycardia (NSVT) in the ED, which resolved spontaneously. Given his history of hyperlipidaemia, unknown family history due to being adopted and episode of NSVT in the ED, he underwent cardiac catheterisation, which showed non-obstructive coronary artery disease and distal left anterior descending artery myocardial bridge (MB). The patient subsequently underwent ECG treadmill stress test with reproduction of chest pressure and NSVT. The patient was referred to cardiac surgery for definitive management of symptomatic MB and underwent resection of MB.

  • arrhythmias
  • clinical diagnostic tests
  • surgical diagnostic tests

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Footnotes

  • Contributors All four authors where part of the treatment team. SKA has written the discussion part. MHK and SKA have contributed equally in all other sections except discussion. RSM and AA provided critical revisions.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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