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Treatment for Myocardial Bridging (2008 and earlier)

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What is the treatment for Myocardial Bridging? Read the comments below to learn from other patients with this diagnosis, ask questions, and share your experiences to support others in our heart patient community.

Read this related story: Myocardial Bridging: Heart Patients and Social Networking

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Archived Postings from 2008 and Earlier (49):

• I am a 44 year old woman with mb in my's were tried first after someone finally took me much meds couldn't get out of bed w/o wanting a nap and eventually meds weren't enough...doc who found bridge placed three piggyback stents and continued w/meds...did beautifully for almost 2 years and then last august had a heart attack...bridge clogged up 100%...fortunately was taken to cath lab immediately and had fourth stent put in...have had irregular heartbeats and told not to worry also w/ bridge....had few episodes and had another cath this past may showed other day severe pain chest radiating in between shoulder blades couldn't stand it went to emergency room they found normal ekg, normal 1st enzyme and kept me 24 hours...2nd and third and fourth enzyme were elevated slightly but still considered negative for mi...released send home and pain is there upon exertion and goes away with rest...called cardiologist and said if not cardiac what do i do? he asked and told me that i should have a thallium stress test asap and if couldn't wait three days meet him in heart tower and he would cath me. now sitting on couch trying to decide if i'm nuts ...if pain is something else...dont know....first doc that was great is Dr. Samin Sharma w/ Mt. Sinai Hospital in NYC...Mary ann McLaughlin was my cardiologist there and believed me before dr. sharma did cath and doc now is from si and i love him too he takes me seriously...hope this isn't my bridge and something else.....
FB, New York, USA, November 22, 2008

• My husband is 43 years old and was diagnosed with myocardial bridging last week after having a heart cath. Doctors say this is good news because it was not blockages! Go figure. He has been sick since his mid twenties with DVT, pulmonary embolisms, TIA's, rare blood clotting disorder, unknown autoimmune dif., upper and lower gastro problems, COPD, high cholesterol and triglycerides, severe joint pain, several UTIs, high blood pressure, elevated liver enzymes, and too many more to name. He has been hospitalized several times a year for these conditions with no explanations. He currently sees a hematologist, cardiologist, autoimmune specialist, a gastro doctor, and his regular PCP. My question is does anyone else who has had myocardial bridging have any of these other symptoms? His cardiologist says that none of this is connected but I am not sure if I buy that. We are currently trying to see about admitting him into a research hospital where someone may be able to diagnose the what is causing all of this. I do not believe that his Doctors have time to research him as a whole. They only fix the problem at the moment and then we move to the next problem. I am convinced that one person can not have this many different problems. I believe the problems are feeding off of one another. Anyone else out there have any of the same complications?
D., Louisiana, USA, September 22, 2008

• Found out Monday I have systolic bridge of 40% in LAD. Also distal to that bridge is 75% blockage. Cardiologists were unable to stent or perform angioplasty due to the vessel being so small in diameter. They said it wouldn't hold. So, my question is, do I just wait until I have an MI & hope I survive it? Is this significant? Current treatment is Toprol 50 mg daily, Norvasc 2.5 mg daily, Aspirin 81 mg daily & Crestor daily. Please tell me how bad this is so I can relax!! I'm 38 years old.
Kiersten Clark, Wagoner, Oklahoma, USA, September 18, 2008

• I am 35 year old male recently diagnosed with myocardial bridging. I was recently put in the hospital for 5 days where they did a cath that verified it. The cardiologist offered me surgery but in the end told my bridging was very small and wouldn't even talk to me about the surgery and then just put me on more medications. I'm still having chest pains. I've been waiting for an appt to see the cardiologist at the va here in detroit since april.
Mathew Burcham, Dearborn, Michigan, USA, August 11, 2008

• I am a cardiologist from the Philippines, recently was admitted for shortness of breath, severe chest heaviness which radiated to my epigarstric area (stomach). Thought that was the end, but got relief after 7 hours when I asked for Nitroglycerine sublingual. I had my Angiogram recently and it showed myocardial bridging at LAD. I hope not to go through the same symptoms that I had recently. I am scheduled for Nuclear Imaging to check for myocardial ischemia and hopefully results will be normal, but most importantly I want to be chest pain free and not to get short of breath which I still have even on ordinary activities.
Maria Theresa A. Tolentino, Manila, Philippines, August 2, 2008

• Hello everyone, I am 55 and was just diagnosed with myocardial bridge. My Dr. said that I have had it since birth, then why it is condition causing me so much problem now? Does this condition get worse with age? How is the degree of the myocardial bridge classified. Is there a web site that provides information about myocardial bridge? How do you find a Dr. that specializes in this condition? Do you locate a regular cardiologist or a surgeon? I live near Chicago. Thank you for any assistance.
Rosemary, Chicago, Illinois, USA, July 21, 2008

• This is Denise again. This week I have seen 7 doctors: 3 kidney, 3 cardiologists and 1 cardiac surgeon. I truly believe what they have to say to me. #1 I should be dead after my first child was born. Apparently that is the main cause of death in young women 95%. I was 19, and survived. 7 miscarriages and 2 more live births{over 11 years]. I was diagnosed with this in 03/02 the bridge covers 45% of the LAD. I have not and will not ever make collateral veins that help to keep the left ventricle pumping. The back of the left ventricle is dying a little more every day. Now that I have started in SVT rate over 140-170 and drop in blood pressure to 40/0. Syncope [fainting spells] has started and I wrecked our vehicle. Thank god no one was hurt.

I am headed to Houston on Monday to start the guinea pig tests. 20 doctors including the ones that I have at home are all in on this. I am going to be given all the tests that need to be done and right beside the test will be my % [the chance that I will live or come off the table] I am apparently a rare occurrence. Please keep me in your prayers because the invasive test only give me 1 percent - 30 percent. Thank you for this forum. I would be glad to help anyone that is having a hard time coping. All the tests results I will post, but when the % rate goes down I will probably head home with medication be with my family and do the things that mean the most important to me. Consider this a [denise shotz] with more to follow --
Denise Sheppard, by my self looking for answers, Orangefield, Texas, USA, May 23, 2008

• Denise -- if you haven't already, read through the other posts here. A few patients report having had positive results from surgery, and they name the surgeons. Perhaps you could contact these physicians to see if they would give you a second opinion after viewing your medical records and angiograms.
Angioplasty.Org Staff, Angioplasty.Org, May 8, 2008

• I am a 49 year old female. 6 years ago was diagnosed with myocardial bridging over the LAD. The LAD is the size of 6 year old child's. The bridge covers 40% of LAD. I went to Dr. Jimmy Howell (famous surgeon pioneered heart surgery). After looking at the arteriogram, there was nothing that could be done. Now, I am having sustained SVT rate 140 - 160. Severe chest pain, shortness of breath, fatigue, radiating pain to neck and left arm. Since there is very little known, I want to know if this the end stage of the disease. Propranolol is useful to decrease the SVT, but it doesn't last very long. Please let me know if there is something else that can be done. If not then be honest with me because I need to get my family ready Thank You.
Denise, East Texas, USA, May 7, 2008

• to 28 year old patient in Kentucky, I live in Louisville, I am 42 and was just diagnosed with Myocardial bridging. I also have lived with PSVT's for 10 years. My pain has gradually worsened over the last 6 months and the meds they put me on don't seem to be making a difference. I am trying to find a good specialist. How about you?
L., Louisville, Kentucky, USA, May 5, 2008

• Jeroen -- treatment for myocardial bridging will depend greatly on your heart's anatomy and progression of symptoms. Besides medical therapy, which you are on, other options are catheter-based angioplasty and stenting or open heart surgery where a resectioning may fix the bridging.
Angioplasty.Org Staff, Angioplasty.Org, April 28, 2008

• hello my name is Jeroen (36) and I am from holland. I am also diagnosed with Myocardial bridging. I had high frequency rhythm of the heart, and i was worried. I went to hospital and i got a cath. and there they saw the long bridging of the LAD. My condition is very well and i have no chest pains. My doctor put me on high medication (200 mg metropolol) and i doing well, but i am little bit worried. My doctor says when it's necessary they will operate on me. I want to know how do they operate on this? they don't cut in muscle i think? Does anyone have some answers?
Jeroen, Holland, April 22, 2008

• I am a 28 year old female. in otherwise good health and body weight. I was diagnosed with myocardial bridging 2 years ago. I have been having chest pain since Jan 2006 bad and they are getting worse. I can not lead a normal active life and I admit seeing other people my age go about daily tasks makes me sad because I cannot do what they do. I experience chest pain, pain in my left arm that radiates into my neck and face and left side. I get winded at mild tasks and my heart rate goes extremely high upon walking around. I have also been diagnosed with SVT but believe now it is the myocardial bridge causing the problems. I have been told recently of bypass surgery which my insurance will not cover easily might help. If not stents are recommended. PLEASE IF ANYONE KNOWS SOMETHING TO HELP TELL ME.......I LIVE IN CONSTANT PAIN:( 28 YRS OLD and feels 82.
28 year old female, Kentucky, USA, March 13, 2008

• I am a 39 year old with stable and unstable angina for the last 15 months. I had a stent placed in the junction of the LAD in August 2007. I still experience pain intermittently and quality of life has been compromised. Prior to the angina, I was in great physical condition thru running and weightlifting. Last month I sought a second medical opinion and cardiologist informed me of a muscle bridge. I am very frustrated and needing answers. Can anyone please advise?
Al Cabrera, Houston, Texas, February 4, 2008

• Janet -- EECP has been around a while. In fact we have a Forum Topic on it here. The idea is that it "trains" the circulation and heart to pump more efficiently by using inflatable cuffs on legs, etc. that are timed with your heart beat. It's been proven to help some patients, but not all -- however, there are some very well-regarded heart clinics that use EECP for relief of angina when other therapies haven't work. Read the Forum Topic for more specifics. One of the companies that makes the equipment also has more info on their wbe site. It's at
Angioplasty.Org Staff, Angioplasty.Org, February 4, 2008

• my cardiologist has suggested EECP therapy for treatment of a rather large LAD myocardial bridge that was just diagnosed in me in 08/07. Have you ever heard of this and do you think it a valid treatment.
Janet Womack, USA, February 4, 2008

• Is the right lower lung pain after lifting or pushing heavy objects normal? Status post CABG 11-12-07. The pain feels like the pain I had with deep inspiration, coughing, etc. When the chest tubes were still in. Sometimes it is so bad that it hurts when i turn over in bed - like it hurt in the first few weeks immediately following my surgery. It is the right lower lung pain that is preventing me from going back to work. The right and left chest wall pain after lifting, pushing, or driving is tolerable for me. I presently don't have a cardiologist and have been released from the care of my cardiac surgeon. I would greatly appreciate some feedback on this soon because I see my PCP later this week and can request the appropriate referrals.
Cindy, Illinois, USA, February 3, 2008

Diane, I am the 50 year old female that sent the posting to cardiology forum on November 5th. I ended up having a CABG of the lad on Nov. 12th. I was unable to have the less invasive surgery. I am not quite ready to return to my job, which requires lifting, but hope to return within the next two weeks. (14 weeks total) My cardiac surgeon was Ralph James Damiano of Barnes Jewish Hospital in St. Louis, Missouri. Google him. You will be very impressed with his credentials. You can e-mail him. He may be able to recommend a cardiac surgeon closer to you. I honestly believe that Dr. Damiano saved my life. My symptoms were so severe and the bridging so long, that I was one of those patients definitely at high risk for an MI. Dr. Damiano told me he didn't think I would have survived much longer without surgery. I was up walking around two days after the surgery and released from the hospital four days after the surgery. I live alone, but had home health care from Barnes and my oldest and best friend flew out from California for two weeks to take care of me. I'm told that my recovery has been phenomenally fast, but it seems slow for me! At first, it was even difficult to open and close doors. Driving still bothers me somewhat, lifting or pushing a shopping cart can cause me pain for days, especially with deep breathing or coughing. The chest pain is chest muscle pain and is gradually going away. The most difficult thing for me is pacing my activities and alternating it with adequate rest. I have no regrets. If you have any questions, feel free to e-mail me.
Cindy, Illinois, USA, February 2, 2008

• I had an extensive anterior MI on Dec 17.2007. I was told that I had a bend (myocardial bridge) and had a dissection of the artery somewhere in that area with caused bleeding which blocked the distal LAD. The angioplasty was only partially able to clear that blockage, thus the MI. All of my other coronaries were clear of arteriosclerosis and my cholesterol has been low for years. My ejection fraction a day after the MI was 30-35% and I was told by the cardiologist who did the angioplasty that if after cardiac rehab the repeat echo does not show improvement of the EF I would probably need an implanted defibrillator. I am finding all of the above comments interesting because today for the second time I've been experiencing chest tightness and pressure which started while shopping and lifting and pushing a grocery cart. Just before this I had a session of cardiac rehab and felt fine throughout and right afterwards. I am on Lisinopril 10mg, lopressor 12.5mg plavix, and Zocor. I'm definitely calling my cardiologist tomorrow. In reading all of your comments I concur with all of you about the seriousness of a myocardial bridge as you can see from what happened to me and I hope the medical professionals can look into addressing this condition more effectively.
Barbara Hugh, Natick, Massachusetts, USA, January 30, 2008

• I COULD BE A SUCCESS STORY-time will tell. I am 47 years old and I was diagnosed with myocardial bridge last August '07 at North Shore University Hospital in Manhasset, NY. I had all the symptoms with increasing intensity culminating in a 7-hour heart attack at the hospital. The pain would not quit- even with morphine. A few days later, I had open heart surgery performed by Dr. Adam Arnofsky. 516-562-4970. Before Dr. Arnofsky came into the scene, Dr. William Berger, 516- 488-4428 appeared to be the only one who figured out what he was looking at regarding my angiogram and tossed the previous "spasm" theory out the window where it belonged. The surgeon removed the part of the heart that was choking my artery and all of the extreme symptoms are gone. However, I still have some symptoms with minimal activity. As my symptoms persist, I may seek another opinion at Saint Francis in Port Washington, NY, which is supposed to be a leading Cardiac Hospital.
A.B., New York, USA, December 17, 2007

• I am a 30 year old female. Two years ago I had my first attack of pain that went through my chest, arm, neck, back, stomach and face. Since then it has happened in my leg area also. My arm and leg goes weak after also. I went to my local hospital and the EKG they did was normal. What happened to me really freaked me out. Well I left the hospital and it happened again and the pain was worse and lasted longer. So I decided to have someone take me to the hospital again. I went to a better hospital the next time. Everything came back alright. Well on the way home it happened again. Well I went to 2 doctors even was having severe chest pains in one of the doctor's office, and they did nothing. I waited in the first one's office with the chest pain for over 2 hours. I was treated so terribly I lost all faith with doctors. But I knew I could not go on like this. It felt like I was dying the pain was so horrible and so constant. Finally I had enough and I decided to take things into my own hands. I made a cardiologist appointment myself. I had all the normal test done and it showed I had irregular heartbeat and pvc's. He put me on a beta blocker, along with my cholesterol pills, well the beta blockers helped a little but not enough. I was still having horrible pains so he gave me the nitro spray. Well that helped sometimes, but the pain would come back later on in the day . Finally he decided to do a cardiac cath, and they found a myocardial bridging in the LAD. I was switched previously from the beta blockers to calcium channel blockers which after the cardiac cath they left me on. They told me to take my same meds and there was nothing they could do for me . The doctor after he did the cardiac cath wouldn't even talk to m . During the cath he talked about other doctors' homes with one of the nurses, and when I went for the follow up they sent an RN to tell me what I had and acted as though it was nothing. Then proceeded to tell me to get my stomach checked which I had already had done. They always want to pass you off on another doctor, they don't want to deal with what you have because they just can't admit that they don't know how to deal with it. The doctor told the nurse during the surgery , " oh she doesn't have no blockage , she is fine" Well I am sorry myocardial bridging is a form of blockage , and no one is doing a damn thing about it from what I have seen and read about it". People and there lives are suffering unnecessarily from this condition. Why won't anyone address this problem?? Rachel, 32, female, Louisiana
Rachel, Louisiana, USA, December 12, 2007

• I'm a 40yr.and had a Cardiac Catheterization done 4 yrs ago. which i was told i had "Double Vessel Disease. Long Myocardial Bridge in LAD With Moderate Stenosis(LAD-PROXIMAL,TUBULAR 50% LESION, MYOCARDIAL BRIDGE DIAG1(PROXIMAL)TUBULAR 40%LESION. The pain gets worse everyday.My job requires me to lift 80lbs box, which i just started 3weeks ago before i was sent back to hospital for chest pain and pain in left arm and neck.They will not let me go back to work yet but nothing has been done about it. I have high Cholesterol which they have me on 3meds for this but can't get it down. My EKGs are abnormal. But they won't do surgery why?They just keep feeding me Meds.that is not working. I do take Nitro, which helps the pain but its there. Can someone tell me a good Heart Doctor to get this fixed. I have no life because of the pain.
Emerson, Ohio, USA, November 23, 2007

• I just turned 47 and was diagnosed with myocardial bridging two months after my mother passed away from heart disease. Since then I have been told it is unrepairable. I have chest pains and tightness of the chest and when this occurs I get very sick to my stomach. Because of no insurance I cant even get my Rx's. But just for everyone else's info check into Larry King Cardiac Foundation. Thanks for all the great info.
Tammy D., Oregon, USA, November 22, 2007

• I am a 32 year old wife and mother of an active 4 year old. I was diagnosed with Mitral Valve Prolapse and an arrhythmia during my pregnancy. I was told not to eat or drink caffeine. Since then I have fought with my cardiologist and got a second opinion and nothing changed. Finally I went to my PCP and cried uncontrollably in his office until he called my cardiologist and requested other tests to be done. My cardiologist requested a Coronary ct scan but my insurance would not cover the test so the did a chest ct scan which showed a third heart condition. Myocardial Bridging of my LAD. They have me taking a B Blocker but all that does is make me not want to get out of bed in the morning. I still have pain everyday all day long and I don't know what to do. I am seeking a third opinion but I don't feel confident after reading other testimonies concerning MB of the LAD. I'm looking for a specialist willing to take action. If anyone can help please e-mail me.
Diane B., Arizona, USA, November 13, 2007

• I am a 47 yo woman who was just diagnosed with myocardial bridging of the LAD yesterday. Three years ago I was stented after a 95% blockage of the LAD in the same place as the bridging was discovered yesterday. After reading these postings, I am really I looking at surgery? Where do I find a cardiologist who is well versed in this diagnosis? I am told that I have had this since birth. I can remember several instances where I suffered from chest pain and it was written off as cardiologist even wrote it off as indigestion immediately following my stent three years ago, because all of my cardiac testing was normal. Anyone who can help, please let me know--I got married a year and a half ago, and now more than ever would like to live a normal life...
Edi, Newark Valley, New York, USA, November 6, 2007

• I am a fifty year old female who is also an ER RN. One night while I was working, I experienced chest pain with shortness of breath. I had a tech do a 12 lead EKG which showed abnormal, but I was not having a heart attack. I was hospitalized for two days. My stress test was negative, but because of high blood pressure, shortness of breath, family history of MIs and continued intermittent chest pain, I requested a cardiac cath on the advice of physician friends. It showed no blockages, but a myocardial bridge midway on the LAD. I was told by the cardiologist that the only way to "fix" the bridge was a CABG, but the benefits weren't worth the risks. On the advice of the same physician friends, I have found a cardiologist that does minimally invasive cardiac surgery and am going to attempt to have the bridge removed as opposed to having a by-pass graft. I get short of breath with minimal exertion, am having trouble controlling my blood pressure, experience constant fatigue, and continue to have intermittent chest pain. I have an appointment with another cardiologist tomorrow that does minimally invasive surgery and I will let you all know how it goes. This is affecting my quality of life. I need to rest after taking a shower. I have been prescribed Xanax and told to get a less stressful job. I love my job an am my sole support. I feel that if this type of surgery can be done, the benefits will outweigh the risks. Pray for me. Cindy
Cindy, Illinois, USA, November 5, 2007

• 59 year old man, had angio, ct, and stress test. The angio test showed that one of my artery is 50% blocked and no need for statin. I am diabetic patient for last 18 years, my LDL is 80 and HDL is 51, and my blood pressure is normal. I am start taking statin, beside numerous diabetic pills. My heart doctor told me to come back after one year. My son read my CT and he says I have myocardial bridge. I have some time little chest pain. I walked at least 3 to 4 miles a day and start jogging for ten minutes, and no breathing problem. Need some advice.
S., Illinois, USA, October 25, 2007

• I'm 52 yrs. young and was diagnosed with myocardial bridge in Aug. after being rushed to CCU with symptoms of a heart attack. I had an echo-cardiogram, ultrasound and heart cath. Blood work ruled out the heart attack (thank God); the other tests showed that I have no blockages and a very strong, healthy heart. I do have mild to moderate leakage in my mitral valve. I then had an exercising stress test to see if the BP medication would control problems and I passed. My cardiologist doesn't think the bridge caused the symptoms (there was no significant stress; no indications, etc.). They now they think it's related to stomach problems. I honestly think the attack was brought on by interactions with herbal supplements that I had just started taking. I quit taking them and am having no problems. But, it's always in the back of my real solutions if it starts causing problems. The stent sounds troublesome and open heart surgery to move the artery is risky at best! I also tire a lot more since the medication is designed to keep my BP lower and allow my heart to rest more in between beats.
DKS, New York, USA, October 9, 2007

• I am 43. On August 27th, 2007 I went in for a cardiac catheterization following a abnormal Stress test.(And new cardiologist said 2 previous normal EKG's were actually abnormal) I was told I had "Moderate Myocardial bridging of the proximal and mid left anterior descending". I was started on a low dose of Toprol XL. My other doctors keep referring to my heart test as normal, it must not be to normal if I have to keep seeing a cardiologist and be put on medication. I annoys me because I have mild chest pain pretty much on a daily basis and it always feels like someone is sitting on my chest or like the air is old and stale with no real oxygen in it. No one I have seen takes this seriously.
DeAnn, Texas, USA, October 5, 2007

• It is nice to see that people are willing to help others by sharing their health issues. I was diagnosed with myocardial bridging after a failed stress test and heart cath. I was put on beta blockers, calcium blockers and nitro. I had very little relief and went off the medications due to the side effects. I am told by my doctors that many people are diagnosed with this and live normal lives. My frustration is what about the people who are not. I am forty one and feel and living like I am much older. It greatly affects me emotionally since I have three kids and can't do the things a normal healthy father can do. I also have trouble with the fact that no one understands why you feel the way you do and then makes you to feel it is all in your head. so I thank you all for helping me to validate my condition and realize it is not just in my head.
Tony, Missouri, USA, July 21, 2007

• I am a 48 year old female who was diagnosed with a 3cm myocardial bridge over the LAD. My stress test was so severe, my family doctor had my husband drive me to the hospital the day he got the results. The cardiologist did an CT of my coronary arteries which is a 3-D image of the arteries which is supposed to detail what is going on in there to avoid unnecessary cardiac caths. It showed a MAJOR blockage in that artery. The cath was performed and revealed the bridge. My cardiologist also said that it was nothing to worry about,that I do not have coronary artery disease and that it is an alternative anatomy of the coronary arteries and very common. He has me on 480mg of Cardizem, 40mg Lipitor, 30mg Imdur, 20mg Lisinopril. A lot of drugs for something so insignificant I think. I seldom have chest tightness any more, only when I am extremely stressed so the drugs work, so far. Why do doctors act like they will lose the respect of the medical community to admit that this condition is real and IS significant? From all that I have read, the Japanese cardiologists are the only ones who take this seriously and are willing to research treatment for us. My doctor won't admit to my having anything wrong with me, he won't even document the bridge in my progress notes (I'm a medical case auditor and have access to my record)he only calls it 'coronary spasms', but he is giving me mega doses of drugs for it and I'm doing better. When other doctors see my drug list and ask me why I'm taking all that stuff, I tell them it is for spasms and they say that I do not need that much medication. This is VERY frustrating. I have hypertension, diabetes, high cholesterol, and mild to moderate pulmonary hypertension. My cardiologist sees me every 6 months. I do not complain about my symptoms to my other doctors because they act like I am imagining them. I am not.
Darlene F., Michigan, USA, June 9, 2007

• My husband is 54 and recently diagnosed with myocardial bridging. He experiences severe chest pain but all tests are negative for heart attack. He was recently placed on a nitro patch and nitro pills. (He has other risk factors for heart attack, including diabetes, high cholesterol, high blood pressure controlled with meds, and family history.) His cardiologist has also diagnosed him with coronary vasospasm. I am looking for a cardiologist who specializes in myocardial bridging in the Massachusetts area.
Paula R., Rhode Island, USA, March 9, 2007

• Hello all ok here's my story never a pain but my health was going down hill just not feeling good no one understanding why i had this chest pain or pressure etc had a test done showed a blockage in an artery in neck my doctor that day sent me to a cardio doc who ordered a stress test and i failed the next am in for a cath, there is it myocardial bridging since then i have been on all kinds of beta blockers etc I'm getting worse i cant do nothing much without the pressure or tightness. found the cleveland clinic on my way thurs this week the 8th they have a section on there own website on it and they have one in fla too wishing you all the best i am tired of going thru this i am 49 if you wish to email i will answer just after i get back that will be on monday the 12th cross them fingers for me god bless all hang in there
Ellen, Eastpointe, Michigan, USA, March 6, 2007

• My husband has been diagnosed with Myocardial bridging he has frequent chest pain and weakness. He is 60 Years old and this gets worse the older he gets. The cardiologist says that the bridging is not a problem and is going to do nothing. Can we get some help? Please post my e-mail address so I can get help with this problem. Thank you
Brenda Merchant (, Caseville, Michigan, USA, February 21, 2007

• Reply to To Tony Clark--I have been going throught the same thing you have--I am 52 & have been diagnosed for over 6 years with the myocardial bridge--no one seeems to wnat to help me get this fixed!can someone please direct me to a surgeon in Florida or somewhere that can help me!
Morna M., Florida, USA, February 10, 2007

WENYI Y., TAIWAN, November 24, 2006

• I'm sorry C. from Arizona but I'm afraid your response is a load of bunk ! A myocardial bridge DOES inhibit blood flow to the heart. It's not as apparent when you are young but as you age the natural progression of all arterial lumens begin. Some more than others, and that's where the pain can start. The heart needs its arteries open all the time, not just on diastole. Please do not give out info that can be false without doing homework first.
Rob M, Boston, Massachusetts, USA, September 27, 2006

• I am a 56 year old patient just diagnosed with myocardial bridging 2 days ago. I am being treated with Laxapro 50 mg per day-unable to give results yet. I am trying to find out if this can be inherited or pasted onto my children?
Jean Nawfel, Fairfield, Maine, USA, August 20, 2006

• We've seen numerous patients with myocardial bridging at our Cardiac Cath Lab. Seldom are they treated with stenting or medication. One reason is that on contraction of the heart (systole) the bridged artery is at its narrowest; fortunately blood flows into the coronary arteries upon relaxation (diastole) of the heart. Blood flow is not inhibited to the heart muscle.
C., Arizona, USA, August 1, 2006

• I was diagnosed with a myocardial bridge last June, with chest pains, difficulty in breathing. I am 42, diagnosed with anxiety induced chest pains. Ironically I used to be a heart nurse , I had never had chest pain. I had to literally order a cath. done. They said I had 20 to 30% stenosis and it wasn't serious. I have had ongoing problems with it since then. I think stress plays a role and how you handle it, I do take klonopin which helped great at first but it is losing its effectiveness and then started using dilitiazem a Ca channel blocker with fair results but I do not like the side effects. Some days I feel like I cannot breath well, dull chest pain. And it is very aggravating. I go to UAB, one of the top cardiac centers in the u.s. and what I have found that stents on work for a short period and surgery outweighs the benefits. I may try the nitric oxide enhancing amino acids that were discovered by the nobel prize winner, who subsequently wrote a book, using arginine, citrulline, alpha lipoic acid, and a few other supplements. I am not sure if it will help dilate the vessel more or if it is a good idea? Any ideas?
Neal Dyar, Patient at UAB hospital, Birmingham, Al., Decatur, AL., July 27, 2006

• I've been having intermittent chest pain for the past three months. I had a stress test with thallium, echocardiogram, and several EKG's. The stress test showed some blockage in the lower left corner of the heart. I had a cardiac cath. and was diagnosed with a mild systolic bridging of the mid segment of the left anterior descending. I still don't know what all these words mean. What concerns me is the the doctor put me on Toprol 1/2 of the pill in the morning, half in the evening. I should avoid stress and strenuous work. The cardiologist said that the only way to fix this problem is open heart surgery, however, he doesn't recommend it unless it gets severe. I'm not the same person and the pain some days is severe to mild most of the time. I'm willing to have surgery to have it fixed, even if it's risky. I just want to have a normal life again. I'm having a second opinion with a specialist in three weeks but I feel this is too long of a wait. There are several cases of heart attacks in my father's side of the family. I'm very scared.
Irene M. , Florida, USA, July 25, 2006

• I am a heart patient and two years ago I received a stent for one of my myocardial bridges. It has helped some in the pain but I still get spasms but they aren't as severe as before. Will there be a point in that my stent won't be effective and I will have to undergo bypass surgery?
Karen Hickey, self, Boise,Idaho USA, June 12, 2006

• I am a 55 year old female who was recently diagnosed with a Myocardial Bridge. I have experienced a squeezing pain off & on in my chest since about the age of 10. In my younger years I was told it was growing pains as well as I was imagining things. As I got older the pain continued and it occurred more often. I was told it could be stress, heart burn or again I was imagining things. My Ekgs were always normal. I had normal echo's and various stress tests, all normal. My chest pain continued, my Cardiologist suggested a heart cath.,which revealed the bridge. He said I have most likely had this since birth. I am taking a beta blocker and nitro. I continue to have the squeezing pain which the nitro often does not give me relief. I was told my other option would be surgery. How risky is the surgery?. Should I consider this as an option or is there anything new as a treatment?
Jodie, USA, April 25, 2006

• i have had the Dx of LAD bridging for 2 years now. They found this during a heart cath. My cardiologist said that it was nothing to worry about and my chest pain was non-cardiac. I was even told i had anxiety. For the last year, I have just lived with the chest pain. I can not take a beta-blocker as I have hypotension. It is nice to have found this site. I do have an abnormal ekg, and sinus tachycardia. thanks for the information. I think I will be finding a different cardiologist.
John D., Maryland, USA, April 20, 2006

• I was just told Wednesday I either have an LAD myocardial bridge, which is"no big deal" or an LAD blockage. I was given the option of low risk treatment or a cath. I go in today for the cath. Will I have a blockage, will it be stented, drug eluding or otherwise, and will it help or will I need bypass? Barbara VG Rn near Tampa Florida, USA, RN/PAtient
Barbara Van Gundy, St Josephs Hospital, Tampa , January 26, 2006

• I suffered with myocardial bridging. I was diagnosed in 2000, I experienced severe chest pain daily sometimes only for a few moments other times it lasted all day on and off. It made it very difficult to be productive on a daily basis. My Cardiologist's 4 of them all tried treating me with medication, calcium blockers, beta blockers, nitro (which usually offered some relief) but not always,and numerous other meds. They also tested for gastro problems which all tests came back normal. I thought I was going crazy, all the tests we ran: ekgs, stress tests, blood work etc.. nothing was showing then I was rushed to the ER again for chest pain, again everything normal. I was admitted and scheduled for another stress test the following morning, the next morning came and prior to the stress test they ran another EKG.. Bingo, something didn't look right, Inverted T-waves, I was rushed in for cardiac cath.. it was then I was diagnosed with the Bridging of the LAD, which was severe. After almost 3 horrible years of playing with medications which made me feel worse and still experiencing symptoms I found another Cardiologist who was actually familiar with Bridging, He reviewed my case and refered me to a surgeon. 3 days after meeting with the surgeon I was admitted for surgery. The surgical process they did on me included: Deroofing the artery from the heart, upon doing this it was found that the section of the LAD that was bridged was not the proper diameter which also contributed to less blood flow, so they also performed by-pass using another artery from my chest. It has been 6 months now, I feel much better and haven't had any returning symptoms. I just wanted to post this for people who are trying to find info on this, because I know I couldn't find much info. It seems that not very many Doctors are real familiar with this either. In the hospitals I was flooded with doctors asking me to familiarize them with myocardial bridging.
Tony Clark, Milford, MI United States, 04 Jun 2003

• Interestingly we at PSCC had 3 such patients the last 18 months .one underwent emergency stenting and later emergency CABG for subacute stent thrombosis. The other two , having learnt the lesson! , were treated conservatively with spasmolytics and other antianginals and did very well subsequently.
menwar al-anazi, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia, 1 May 2000

• Difficult case. The data on stenting under a myocardial bridge is limited. Assuming that the artery is otherwise normal under the bridge, it seems rather excess to stent a "normal" vessel. On the other hand, given the fact that the artery involved is the LAD and it occludes I would, for right or wrong reasons, feel uncomfortable doing nothing. My bias would, therefore, be to stent the segment and use calcium channel blockers. In the event of restenosis, I'd send the patient for surgery.
Fahim Jafary, M.D., Aga Khan University Hospital, Karachi, PAKISTAN, March 20, 2000

• I wait for such a case in order to offer him (not her?) a stent implant. I suppose to obtain good long term result. How your case proceeded?
Matyas Keltai, Hungarian Institute of Cardiology, Budapest, HUNGARY, February 20, 2000

• A 50-year-old patient with unstable angina -- the angio shows a total occlusion of the LAD at the mid segment after the first septal branch, and a normal LV function. After intracoronary nitrates, the LAD is patent again with severe myocardial bridging over a short segment (just at the site where it was occluded) without any atheroma. What would you do: stent, surgery or medical treatment?
Georges Badaoui, Hotel Dieu de France Hospital, Beirut, LEBANON, November 21, 1999

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