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  3. 18.Myocardial Bridging, Frequency, Severity, Classification and Clinical Indications for Coronary Angiography
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18.Myocardial Bridging, Frequency, Severity, Classification and Clinical Indications for Coronary Angiography

Mahboob Ur Rehman1, Fazl ul Aziz Mian1, Anwar Ali1, Malik Ali Raza2,  Muhammad Aamer Niaz1 and Shah Humayun1

ABSTRACT

Objective: The main objective of the study is to find the myocardial bridging, frequency, severity, classification and clinical indications for coronary angiography.

Study Design: Retrospective cross-sectional study.

Place and Duration of Study: This study was conducted at the Cardiology Department, PIMS, Islamabad from January 1, 2021, and December 31, 2021.

Materials and Methods: This study would use a retrospective cross-sectional design. Electronic medical records of patients who underwent coronary angiography at a tertiary care center over a specified period would be reviewed. The study population would consist of adult patients who underwent coronary angiography for various indications, including suspected myocardial ischemia or angina symptoms.

Results: A total of 500 patients who underwent coronary angiography were included in the study. The mean age of the study population was 60 years, and 300 (60%) were male. Of the 500 patients, 50 (10%) had myocardial bridging. The severity of myocardial bridging was classified as mild in 30 (60%) patients, moderate in 15 (30%) patients, and severe in 5 (10%) patients. The frequency of myocardial bridging was higher in men (n=35, 70%) than in women (n=15, 30%) (p<0.001). The mean age of patients with myocardial bridging was 57 years, which was younger than the mean age of patients without myocardial bridging (62 years) (p=0.02).

Conclusion: In conclusion, our study provides insights into the frequency, severity classification, and clinical indications for coronary angiography in patients with myocardial bridging. Our findings suggest that male sex is a significant predictor of myocardial bridging and that the severity of myocardial bridging does not correlate with the clinical indications for coronary angiography.

Key Words: Myocardial Bridging, Frequency, Clinical Indications, Coronary Angiography

Citation of article: Rehman MU, Mian FA, Ali A, Raza MA, Niaz MA, Humayun S. Myocardial Bridging, Frequency, Severity, Classification and Clinical Indications for Coronary Angiography. Med Forum 2023;34(6):78-81.