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In other patients, however, myocardial bridges can lead to compression of the coronary artery during systolic contraction and delayed diastolic relaxation, resulting in myocardial ischemia. This ischemia in turn can lead to myocardial infarction, ventricular arrhythmias and sudden cardiac death. Myocardial bridges have also been linked to an increased incidence of atherosclerosis, which has been attributed to increased shear stress and the presence of vasoactive factors. Other studies however, demonstrated the protective roles of myocardial bridges. In this study, using systematic review and a meta\u2010analytical approach we investigate the prevalence and morphology of myocardial bridges in both clinical imaging and cadaveric dissections. We also discuss the pathophysiology, clinical significance, and management of these anatomical entities.<\/jats:p>","DOI":"10.1002\/ca.23697","type":"journal-article","created":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T01:46:22Z","timestamp":1603158382000},"page":"685-709","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":73,"title":["Myocardial bridges: A meta\u2010analysis"],"prefix":"10.1002","volume":"34","author":[{"given":"Wallisa","family":"Roberts","sequence":"first","affiliation":[{"name":"Department of Medicine Princess Royal Hospital  Apley Castle, Telford Shropshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey M.","family":"Charles","sequence":"additional","affiliation":[{"name":"Department of Anatomical Sciences St. George's University, School of Medicine  Grenada West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassandra","family":"Ang","sequence":"additional","affiliation":[{"name":"Department of Medicine Princess Royal Hospital  Apley Castle, Telford Shropshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mateusz K.","family":"Holda","sequence":"additional","affiliation":[{"name":"HEART\u2010Heart Embryology and Anatomy Research Team, Department of Anatomy Jagiellonian University Medical College  Cracow Poland"},{"name":"Division of Cardiovascular Sciences The University of Manchester  England UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerzy","family":"Walocha","sequence":"additional","affiliation":[{"name":"Department of Anatomy Jagiellonian University, Medical College  Krakow Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9995-6154","authenticated-orcid":false,"given":"Nirusha","family":"Lachman","sequence":"additional","affiliation":[{"name":"Department of Clinical Anatomy and Department of Plastic Surgery Mayo Clinic College of Medicine and Science, Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8710-3384","authenticated-orcid":false,"given":"R. 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