Myocardial bridging causing compression of epicardial arteries may be
an incidental finding at coronary arteriography. Bridging rarely cause
s myocardial ischaemia. A young man presented with chest pain and stri
king abnormalities of ventricular repolarisation that initially were t
reated as myocardial infarction. At cardiac catheterisation the corona
ry arteries were normal apart from the presence of a myocardial bridge
affecting a major diagonal branch of the left anterior descending art
ery. Echocardiography was normal with no features of hypertrophic card
iomyopathy.