{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T16:43:15Z","timestamp":1786293795976,"version":"build-2736575974"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Myocardial bridging (MB) is a congenital coronary anomaly characterized by systolic compression of an intramyocardial coronary artery segment. Although often considered benign, MB may be associated with altered coronary hemodynamic and regional myocardial dysfunction. Speckle\u2010tracking echocardiography (STE) allows sensitive assessment of myocardial deformation and may detect subtle abnormalities not evident with conventional echocardiographic parameters. This study aimed to evaluate myocardial deformation in patients with MB and to investigate the relationship between bridge severity and strain parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with MB identified by coronary angiography between 2010 and 2022 were retrospectively analysed. Only patients with isolated mid\u2010left anterior descending artery MB and no significant coronary artery disease were included. Patients were categorized according to the degree of systolic narrowing as mild (&lt;50%, group I) or moderate\u2013severe (\u226550%, group II). Control subjects had normal coronary angiograms without MB. Conventional echocardiographic parameters and STE\u2010derived global longitudinal strain (GLS) and segmental strain values were compared among groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ninety\u2010seven subjects were included (62 with MB and 35 controls). LVEF and overall GLS were similar between MB patients and controls. However, GLS differed significantly across control, group I, and group II (\u221219.6 \u00b1 2.1%, \u221220.4 \u00b1 1.9%, and \u221218.0 \u00b1 3.2%, respectively;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001). Patients with moderate\u2013severe MB demonstrated less negative strain values in multiple myocardial segments, whereas strain parameters were comparable between controls and mild MB.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Moderate\u2010severe MB is associated with regional myocardial deformation abnormalities. STE may provide additional functional insight into myocardial mechanics in hemodynamically significant MB.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/echo.70506","type":"journal-article","created":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T12:47:46Z","timestamp":1779108466000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Severity\u2010Dependent Myocardial Deformation in Patients With Myocardial Bridging Assessed by Speckle\u2010Tracking Echocardiography"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9616-3386","authenticated-orcid":false,"given":"Hatice","family":"Kemal","sequence":"first","affiliation":[{"name":"Cardiology Department Near East University Hospital  Nicosia Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aziz","family":"Gunsel","sequence":"additional","affiliation":[{"name":"Cardiology Department Near East University Hospital  Nicosia Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belma","family":"Yaman","sequence":"additional","affiliation":[{"name":"Cardiology Department Ankara Bilkent Sehir Hastanesi  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Levent","family":"Cerit","sequence":"additional","affiliation":[{"name":"Cardiology Department Near East University Hospital  Nicosia Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamza","family":"Duygu","sequence":"additional","affiliation":[{"name":"Cardiology Department Near East University Hospital  Nicosia Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehi203"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.01.049"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0735\u20101097(02)02768\u20107"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000038420.14867.7A"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.820720"},{"key":"e_1_2_10_7_1","doi-asserted-by":"crossref","unstructured":"T.Hashikata \u201cImpact of Diastolic Vessel Restriction on Quality of Life in Symptomatic Myocardial Bridging Patients Treated with Surgical Unroofing: Preoperative Assessments with Intravascular Ultrasound and Coronary Computed Tomography Angiography \u201dhttps:\/\/doi.org\/10.1161\/CIRCINTERVENTIONS.121.011062.","DOI":"10.1161\/CIRCINTERVENTIONS.121.011062"},{"issue":"11","key":"e_1_2_10_8_1","first-page":"521","article-title":"Myocardial Bridging: An up\u2010to\u2010Date Review","volume":"27","author":"Lee M. 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