Summary
Myocardial bridging, or milking, as a cause of chest pain: report of 4 cases
Sánchez Ramón S, Moya De La Calle M, Álvarez Hodel AE, del Pozo Vegas C
Affiliation of the authors
Servicio de Urgencias, Hospital Universitario Río Hortega, Valladolid, Spain. Centro de Salud Parquesol, Valladolid, Spain. Hospital Clínico Universitario, Valladolid, Spain.
DOI
Quote
Sánchez Ramón S, Moya De La Calle M, Álvarez Hodel AE, del Pozo Vegas C. Myocardial bridging, or milking, as a cause of chest pain: report of 4 cases. Emergencias. 2016;28:117-20
Summary
Myocardial bridging of epicardial coronary arteries can cause a compression effect during systole. The anterior descending artery is the most commonly affected. This phenomenon is also known as milking. The clinical spectrum is varied. The patient may be symptom-free or experience varying degrees of chest pain during exercise or rest. We describe
4 patients treated for myocardial bridging in a hospital emergency department. Physicians should become familiar with this phenomenon in order to understand its management and implications.