{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T16:36:16Z","timestamp":1792773376025,"version":"4.5.0"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"19","license":[{"start":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T00:00:00Z","timestamp":1746748800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5,9]]},"abstract":"\n Rationale:<\/jats:title>\n Myocardial bridge (MB), where a coronary artery segment is overlaid by myocardium, is often asymptomatic but can lead to serious complications. This case highlights a rare electrocardiographic manifestation of MB: resting ST-segment depression when transitioning from a supine to a standing position.<\/jats:p>\n <\/jats:sec>\n \n Patient concerns:<\/jats:title>\n A 39-year-old male with no significant medical history presented with intermittent, nonexertional chest pain. His resting electrocardiogram was normal in the supine position but showed ST-segment depression in leads II, III, aVF, and V5-V6 when standing.<\/jats:p>\n <\/jats:sec>\n \n Diagnoses:<\/jats:title>\n Coronary angiography confirmed a MB in the left anterior descending artery.<\/jats:p>\n <\/jats:sec>\n \n Interventions:<\/jats:title>\n The patient was managed with beta-blockers, aspirin, and rosuvastatin therapy.<\/jats:p>\n <\/jats:sec>\n \n Outcomes:<\/jats:title>\n After 8 months of follow-up, no complications or cardiac symptoms were observed.<\/jats:p>\n <\/jats:sec>\n \n Lessons:<\/jats:title>\n This case underscores the importance of recognizing positional ST-segment changes as a potential indicator of MB, offering valuable insights into the diagnosis and management of this condition.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/md.0000000000041981","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T21:01:32Z","timestamp":1747083692000},"page":"e41981","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A rare manifestation of a common problem: resting ST-segment depression on the exercise treadmill test: Case report"],"prefix":"10.1097","volume":"104","author":[{"given":"Yan","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Cardiology, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dandan","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8384-0976","authenticated-orcid":false,"given":"Qifeng","family":"Jing","sequence":"additional","affiliation":[{"name":"Department of Radiology, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, Zhejiang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20261023","first-page":"521","article-title":"Myocardial bridging: an up-to-date review.","volume":"27","author":"Lee","year":"2015","journal-title":"J Invasive Cardiol"},{"key":"R2-20261023","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/0002-8703(82)90500-2","article-title":"Clinical significance of isolated coronary bridges: benign and frequent condition involving the left anterior descending artery.","volume":"103","author":"Kramer","year":"1982","journal-title":"Am Heart J"},{"key":"R3-20261023","doi-asserted-by":"crossref","first-page":"2196","DOI":"10.1016\/j.jacc.2021.09.859","article-title":"Myocardial bridging: diagnosis, functional assessment, and management: JACC state-of-the-art review.","volume":"78","author":"Sternheim","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"R4-20261023","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1016\/j.carrev.2020.02.014","article-title":"An updated review on myocardial bridging.","volume":"21","author":"Murtaza","year":"2020","journal-title":"Cardiovasc Revasc Med"},{"key":"R5-20261023","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1007\/s12471-012-0296-4","article-title":"Prevalence and predictors of bridging of coronary arteries in a large Indonesian population, as detected by 64-slice computed tomography scan.","volume":"20","author":"Wirianta","year":"2012","journal-title":"Neth Heart J"},{"key":"R6-20261023","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/0167-5273(86)90267-6","article-title":"Systolic compression of coronary artery in hypertrophic cardiomyopathy.","volume":"12","author":"Navarro-Lopez","year":"1986","journal-title":"Int J Cardiol"},{"key":"R7-20261023","doi-asserted-by":"crossref","first-page":"2116","DOI":"10.12659\/MSM.893632","article-title":"Exercise-induced repolarization changes in patients with isolated myocardial bridging.","volume":"21","author":"Aksan","year":"2015","journal-title":"Med Sci Monit"}],"container-title":["Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/MD.0000000000041981","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T15:00:39Z","timestamp":1792767639000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/MD.0000000000041981"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,9]]},"references-count":7,"journal-issue":{"issue":"19","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/md.0000000000041981","relation":{},"ISSN":["1536-5964","0025-7974"],"issn-type":[{"value":"1536-5964","type":"electronic"},{"value":"0025-7974","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5,9]]}}}