{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T18:44:47Z","timestamp":1775673887339,"version":"3.50.1"},"reference-count":29,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Myocardial bridging (MB) is still not yet considered a significant finding in Indonesia both radiographically and clinically. Hence, this article aims to assess the prevalence of MB using multi-detector computed tomography (MDCT) and look at factors contributing to stenosis amongst patients with MB. Materials and Methods: This study is cross-sectional in a single centre, with consecutive sampling, looking at all patients who underwent a multi-detector computed tomography (MDCT) scan from February 2021 until February 2023. GraphPad Prism version 9.0.0 for Windows (GraphPad Software, Boston, MA, USA) was used to analyse the results. Results: There are 1029 patients with an MB, yielding a prevalence of 44.3% (95%CI 42.3\u201346.4). The left anterior descending vessel is the most commonly implicated, with 99.6%. Among those with stenosis, the middle portion of the bridging vessel is the most common site of stenosis (n = 269), followed by the proximal portion (n = 237). The severity of stenosis is more often moderate, with 30\u201350% (n = 238). Females (odds ratio [OR] of 1.8, 95%CI 1.4\u20132.3; p-value &lt; 0.0001), older age (t-value 5.6, p-value &lt; 0.0001), symptomatic patients (OR 1.4, 95% CI 1.1\u20131.9; p-value = 0.013), and higher mean coronary artery calcium score (t-value 11.3, p-value &lt; 0.0001) are more likely to have stenosis. The degree of stenosis is significantly higher in the proximal stenosis group than in the middle stenosis group (t-value 27, p-value &lt; 0.0001). Conclusions: Our research demonstrates that MB may prevent atheromatosis of the coronary segment distal to the MB and predispose the development of atherosclerosis in the section proximal to the bridge.<\/jats:p>","DOI":"10.3390\/medicina60050794","type":"journal-article","created":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T10:26:36Z","timestamp":1715682396000},"page":"794","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["High Prevalence of Myocardial Bridging Detected in an Indonesian Population Using Multi-Detector Computed Tomography"],"prefix":"10.3390","volume":"60","author":[{"family":"Koesbandono","sequence":"first","affiliation":[{"name":"Interventional Radiology Division, Department of Radiology, Faculty of Universitas Pelita Harapan, Tangerang 15811, Indonesia"},{"name":"Department of Radiology, Siloam Hospital Lippo Village, Tangerang 15811, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonia Anna","family":"Lukito","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, Siloam Hospital Lippo Village, Tangerang 15810, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rusli","family":"Muljadi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Siloam Hospital Lippo Village, Tangerang 15811, Indonesia"},{"name":"Thoracic and Cardiovascular Imaging Division, Department of Radiology, Faculty of Universitas Pelita Harapan, Tangerang 15811, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mira","family":"Yuniarti","sequence":"additional","affiliation":[{"name":"Department of Radiology, Siloam Hospital Lippo Village, Tangerang 15811, Indonesia"},{"name":"Thoracic and Cardiovascular Imaging Division, Department of Radiology, Faculty of Universitas Pelita Harapan, Tangerang 15811, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nyoman Aditya","family":"Sindunata","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Universitas Pelita Harapan, Tangerang 15811, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreyano","family":"Sarikie","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Universitas Pelita Harapan, Tangerang 15811, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teodorus Alfons","family":"Pratama","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Universitas Pelita Harapan, Tangerang 15811, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reynaldy Santosa","family":"Thio","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Universitas Pelita Harapan, Tangerang 15811, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4265-4323","authenticated-orcid":false,"given":"Jessica","family":"Christanti","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Universitas Pelita Harapan, Tangerang 15811, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6439-6265","authenticated-orcid":false,"given":"Gilbert Sterling","family":"Octavius","sequence":"additional","affiliation":[{"name":"Department of Radiology, Faculty of Universitas Pelita Harapan, Tangerang 15811, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e05","DOI":"10.15420\/ecr.2020.33","article-title":"Bridging the Gap in a Rare Cause of Angina","volume":"16","author":"Khadke","year":"2021","journal-title":"Eur. 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