Circulation. 1997;95:2455
(Circulation. 1997;95:2455.)
© 1997 American Heart Association, Inc.
Myocardial Bridges
Manfred Zehender, MD
Abteilung Innere Medizin III, Klinikum der Albert-Ludwigs Universität, Freiburg, Germany.
Correspondence to Manfred Zehender, MD, Abt. Innere Medizin III, Klinikum Der Albert-Ludwigs Universität, Hugstetterstr. 55, D-7800 Freiburg, Germany.
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Introduction
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 Top
 Introduction
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In a 36-year old long-distance runner with a history of palpitations
and presyncope, an episode of sudden cardiac death occurred
during competitive mountain racing. Endless-loop Holter monitoring
(A
) demonstrated rare episodes of nonsustained ventricular tachycardia,
an episode of acceleration, and finally spontaneously terminating
ventricular tachycardia followed by marked ST-segment alteration.
Coronary angiography (B
and C
) excluded coronary artery disease
but demonstrated a tunneled epicardial coronary artery (myocardial
bridges) (C
, arrows).
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Footnotes
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The editor of Images in Cardiovascular Medicine is Hugh A. McAllister,
Jr, MD, Chief, Department of Pathology, St Luke's Episcopal
Hospital and Texas Heart Institute, and Clinical Professor of
Pathology, University of Texas Medical School and Baylor College
of Medicine.
Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC 4-265, Houston, TX 77030.
