{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T01:38:18Z","timestamp":1793669898955,"version":"4.5.1"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"Supplement_I","license":[{"start":{"date-parts":[[2022,11,12]],"date-time":"2022-11-12T00:00:00Z","timestamp":1668211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The myocardial bridge (MB) is a common anomaly of the coronary tree, very often clinically silent. The artery typically involved is the left anterior descending in its proximal and\/or middle portion. MB can cause ischaemia with various mechanisms, directly proportional to the degree of compression of the intra-myocardial tract, which impairs the coronary flow. It is a dynamic phenomenon that is affected by the adrenergic tone and is therefore often brought by physical exercise. MB, when symptomatic, often begins with angina from exertion; some patients have more severe conditions such as unstable angina or myocardial infarction. Coronary vasospasm related to MB-induced endothelial dysfunction can explain a number of cases that come to observation even with catastrophic pictures such as ventricular fibrillation caused by ischaemia. The diagnostic workup includes the non-invasive study using computed tomography angiography and the invasive study of the haemodynamic impact using pressure and Doppler guides. In symptomatic cases, drug therapy with a beta-blocker is enough to manage angina. When it fails, there is the option of coronary angioplasty or surgical treatment techniques.<\/jats:p>","DOI":"10.1093\/eurheartjsupp\/suac075","type":"journal-article","created":{"date-parts":[[2022,11,12]],"date-time":"2022-11-12T10:20:48Z","timestamp":1668248448000},"page":"I61-I67","source":"Crossref","is-referenced-by-count":31,"title":["The myocardial bridge: incidence, diagnosis, and prognosis of a pathology of uncertain clinical significance"],"prefix":"10.1093","volume":"24","author":[{"given":"Andrea","family":"Santucci","sequence":"first","affiliation":[{"name":"Division of Cardiology, Perugia Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Jacoangeli","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Perugia Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Cavallini","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Perugia 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