Myocardial bridge - an unusual but important cause of chest pain

[@glgartman]

Your explanations are the best I have ever heard. Thank you so much.

[@cryptojunkie5875]

Just been diagnosed with a bridge after having a long period of increasing significant chest pain. Thanks for detailed explanation Dr Gupta

[@jayvardhanpatil]

thanks a million (and I really mean it) for making this video in a language that can be understood by the patients.

[@jennywest658]

Stents are no longer advised for MB because the compression of the artery damages them. Bypass is not advised for MB anymore unless there is obstructive disease, this is because of competitive flow issues. Medication and unroofing are the two treatment options. Do you assess through diastole? Also, do you carry out unroofing surgery in Yorkshire?

[@winterhorse]

Thank you Dr Gupta for taking the time to provide life saving information to your viewers.

[@christopherhorne1085]

Dr. Gupta, thank you for your service to the community. I had a coronary angiogram yesterday because of ST depression at 170 bpm (Stress Test; 55 yo male) and night chest pains lying down. The angiogram revealed no blockages but a myocardial bridge on the mid LAD (1/2 way down and 10 mm long). EDP was normal. I've asked PCP for pulmonary referral. Why lower anterior left pain only lying down at night/bedtime and a function of lung volume (inhale/exhale)??? Thanks for this video.

[@kunalasrani4612]

Hi, how u doing??

[@southafricaify]

Hi Dr, I was wondering if you could talk about finger nail clubbing and how it relates to the heart and lungs. Also what to look out for. Thanks

[@dauntiekay2768]

Thank you, I appreciate your videos! They contain lots of great information!

[@christinemiller230]

This is very interesting. You look very handsome today. Thank you for helping people. It shows you care 🙂

[@peggymicsky8607]

Yes, he does! WOW!

[@TraceyMariexx]

Happy New Year Dr Gupta. Thankyou so much for your videos.

[@hindmrf5630]

Thank you very much for this excellent and simple explanation !! It really helped me

[@jarmahhack6914]

Keep up the good work Doc

[@srinivasd6513]

Hello Sanjay Gupta, I wanted to inform you that a continuous 30 to 40-minute walk seems to be regulating the heart ectopics and palpitations. Have you looked into it and recommended your patients to walk to get rid of the abnormalities? Thanks! Srini

[@kunalasrani4612]

Hi, do you have the MB??

[@snowy_beautiful]

Thank you very much, very useful information 👍

[@michaelwilliams4677]

Experts at the Cleveland Clinic say that IFR, not FFR, is the best way to evaluate a myocardial bridge. They also advise against use of stents to treat a bridge.

[@gigismalley]

Another informative video. I didn't know you took requests, so here's mine...can you do a video on Bicuspid Aortic Valves? I'm 63 and didn't know I was born with this until I was diagnosed at age 47.

[@Ariel-yc3xl]

Dr. Gupta, Can you do a video on whether or not the Ketogenic diet is safe for the heart and the myths behind it?

[@stuartkelly3106]

Nobody knows

[@paulfasse8032]

Good info. but never should a stent be administered on myocardial bridge. Why? Can become very fragile and literally fracture (stent) and now it becomes life threatening. LIMA after unroofing is the best of both worlds when significant plaque occurs. That is left interior mammory artery from chest. This method provides a bypass much superior to the legs as they are pristine and bigger around in circumference.

[@solaris6309]

thank you so much it gives us hope

[@anurakarunamuni9705]

I have a MB. A very clear explanation of cause and treatments. Thank you very much. What is FFR stands for?

[@kunalasrani4612]

Hi, how u doing??

[@mallikarjunkumbar8464]

What treatment u r taken sir

[@surfperch365]

thank you for making this video

[@malikmuhammadshahbazabbas5633]

Hello! Dear Dr. Gupta, please do a talk on Anomalous Coronary Artery. Regards.

[@LYJManchesterUnited]

I never had chest pain problems till recently like (2-3 weeks) back im 29 years old, active and always played full sized soccer, I complained of chest pain then got telemetry, ultrasound of heart, blood tests and finally CT of the heart with contrast the doc said my heart is perfectly healthy and 0% calcium buildup and mentioned nothing else, but I saw in the report that I had myocardial bridging of the mLAD didn't say the size or whatever.. What's the chances my chest pain is caused by that? I also have GERD symptoms constant farting and burping after eating or after long time of not eating. I have numbness of my left arm deep that runs into near my elbow area.. Thanks for any help and take care everyone!

[@ME-mv9hv]

Interesting video thank you. I've recently discovered via a CT angiography that I have a long myocardial course in my LAD. Could this possibly have the same effect as a bridge? I have a stent proximal to the course after a silent MI caused by a 90% blockage. I've always lived a healthy lifestyle and my other main arteries are in good order.

[@hannysavelkouls8313]

For me the same story: recent heartattack, only myocardial Bridging is found during CAK. A lang time of angina pectoris because of vasospasm. But now a heartattack. Thank you for the clear information. It helps a to understand it clearly.

[@kunalasrani4612]

Hi, how u are doing

[@hannysavelkouls8313]

@@kunalasrani4612 mind me asking why you are interested?

[@kunalasrani4612]

@@hannysavelkouls8313 i have the bridge also gaining knowledge

[@hannysavelkouls8313]

@@kunalasrani4612 Ah, I am sorry for both of us. I am searching for balans in my life. Since my hartattack my energylevels are very low. Microvascular coronairy spasms are confermed by coronairy fynctiontest. With that test they measured the flow in the coronaiys and also behind the bridging. That was okay. The symptoms are severe. With medecation it is manageble. Daily stressors give symptoms. So, how am I doing.... so, so. How about you, what is your story.

[@kunalasrani4612]

@@hannysavelkouls8313 i am in lots of pain, no medicines help, no compresion in angio but ct shows bridge

[@debzyj376]

Thank you.

[@warqamilton1604]

Thank you Dr Sanjay ! I finally know the reason for the sharp and severe chest pains I get once or twice a year🙏🏼 I was diagnosed ten years ago, while doing a stress test and after a heart scan, that I have a mild case of myocardial bridge. But I was not told that this causes severe chest pains which I suddenly get while resting and which last for 1-2 minutes . The last time it happened was one year ago so my new cardiologist had me undergo a coronary angiography where he inserted a scope through my wrist to my heart and I was able to see my heart and the coronary arteries on a screen. The cardiologist confirmed that my arteries are all clear and there are no blockages in them and he also confirmed that I have mild MB. But he couldn’t explain why I had that very severe chest pain because he explained my heart seemed ok...finally he said that it could be a heart burn or gas!!! He just didn’t believe that the pain I felt was from my heart?! Thank you again for explaining MB so clearly🙏🏼🙏🏼😊

[@Kkins100]

Same with my diagnosis of MB during a heart cath to rule out blockage (none and they were chomping at the bit to put in a stent!) ...just had a second opinion today and was told it is heart burn. It was apparent to me that he just wants to push statins on me and never mind the MB. I have a third opinion with the doctor who did the heart cath and I am now ready for that appointment with lots of questions after reading a very comprehensive update on Wiki about MB. Cardiologists aren't schooled on this condition and they brush it off!

[@samaelmartinus3273]

@@Kkins100 any updates. My angiography found deep/complete LAD myocardio bridge. Tired of every week visits to hospital for chest pain, fatigue , tachy . Thought the cta finds it his impression is " all normal" no mention of it. Smh ???

[@mohitdubey9345]

Which treatment you take

[@kunalasrani4612]

@@mohitdubey9345 hi Mohit can u please share insta id

[@taiyubmom1747]

​@@mohitdubey9345hello Mohit what treatment you are taking do I still have chest pain

[@marypost2633]

Very hard to find a good cardiologist in France

[@stephaniegarsow6220]

Do you play the piano? Ive been playing since i was 9 years old and im in my 60s now. :)

[@Aravindswamyrhs]

Thankyu sir

[@SpinWave]

Stents are proven to make the problem worse. Why is not surgery the first option? The bypass needs to be such that no blood goes through the old vein artery. Un-roofing is the only option. What are the risks of un roofing?

[@kathygause7849]

Will you do a video about left branch bundle block? I have no blockage and was started on a beta blocker with side effects I don’t like. Can’t find much information online. Can I do anything or am I doomed to “wait and see”?

[@aloshes5608]

Thank you Dr my heart rate is48-50 Ct angio showed mild LAD myocardial bridge. Is this normal condition . Waiting for your replay

[@bertrosels791]

After roofing surgery do patients need to continue taking beta blockers or other type of meds?

[@sarahjeanmarucot1903]

Hi Doc Sanjay, what is the effect of taking combined vitamins b1, b6 and b12 in lowering high-blood pressure?

[@CherylBattista]

My blood pressure is high, on medication and recently found out I have a mb. When they did a stress test yrs ago,I had an infarction...again they did a nuclear 1 and just said it was abnormal. My top # is high and bottom only sometimes goes high. Is the bridge the cause for the high BP? I have a lot of chest pain and have symptoms of a heart attack but I ride it out. My fear is my Dr. Doesn't her how bad the pain is and I am gonna drop dead. They said my left ventricle wasn't functioning properly as well. Strange enough I am o disability for chronic ICU migraines and the meds are helping those. Course I sleeps ton coz my heart rate is in the 40s. I am exhausted and confused, thoughts? Thank you.

[@kunalasrani4612]

Hi, how you doing now??

[@magicman6258]

Can myocardial bridge cause just pain without causing ischemia?

[@Taybay80]

I have a 70 percent mid lad myocardial bridge. I had surgery 5 months ago, the vein was deep and did not come out, I had cabg bypass, but my pains became more severe. I can't stop the pain and the pain what do I do

[@joybrooks564]

Doc, I recently found out I have a small ASA...how long does one live with that? I'm kinda freaked out. I dont want to know ALL the details, just the basics

[@hedayatallah3558]

Patient with M bridging and with 50% obstruction due to atheromatous plaque and know asymptomatic taking CCB Can we perform stent is it effective?

[@vanichunduru]

Hello Sir, My friend is diagnosed with Myocardial bridging, her age is 34 now. could you please suggest us a treatment? we are not understanding where to go and how to save her life. Please sir 🙏🏼

[@jeffgerbracht4186]

Go to Stanford and speak with Dr. Schnittger.

[@kunalasrani4612]

Hi how r your friend is doing

[@brendaandrandyking4126]

I have something going on that dr wants to say I'm having angina symptoms but when this hits me my pulse r😢ate goes do😮wn to 43 and my heart is skipping beats like crazy

[@2kenonair965]

Hello, everyone. I’ve an myocardial bridge which is 15mm and complete. I’ve an CT Angiography. They said there is no blockage in vein and no meaningful narrow between systole and diastole. After that I’ve done Nuclear stress test. Nuclear stress test resulted, there is no problem with blood flow to my heart. But I’m still having symptoms. I’ve pressure on my left shoulder and there is a numbness on my left hand. Sometimes I feel, numbness on left side of my jaw. In a day life, when I stand and slow-walking, I feel painful pressure on my chest, 4-4.5 over 10. In addition to that, I feel dizzy while I’m standing. I’m a little fatigue in a day, can’t find energy to do exercises. I’m living in Istanbul/Turkey. I got contacted with one of the best cardiologist in Turkey and his name is Afksendiyos Kalangos. I showed my reports and he said not to worry about my myocardial bridge because reports show that, I’m not feeling these thing because of MB. But why I’m having these symptoms?

[@kunalasrani4612]

Hi, how u doing now??

[@kunalasrani4612]

Same in my case no narrowing, how you doing do you got any good doctor who knows it

[@2kenonair965]

@@kunalasrani4612 feeling symptoms still don’t know what to do :) I always check my heart blood work, EKG, and EKO’s every week. Every time my test results are normal. If something is wrong with my MB, I think the test results bad.

[@kunalasrani4612]

@@2kenonair965 i am in same situation, do you have night mare sob in night sweating

[@kunalasrani4612]

@@2kenonair965 are you on medications?

[@informativeakash5949]

Is myocardial bridge is a born disease or it occurs by habit like heavy weight lifting , high intensity exercises, hypertension etc??

[@colum9911]

Born with it

[@mohitdubey9345]

Hello same report

[@kamalkaur5002]

Dr. My mom in india is diagnosed with myocardial bridge. Doctor started on diltiazem so was wondering if that also works for chest pain, dyspnea and palpitations.

[@kunalasrani4612]

Hi Kamal how your mom is doing now??

[@turgaykiran279]

Hi sanja I want to send you pictures regarding myocardial muscle bridge how can i do that. I live in Denmark

[@mohitdubey9345]

Same report

[@rens1259]

Hello doctor I m from India and recently got to know about my short segment Mid LAD MB. Is there any way I can contact you online and discuss my reports and treatment further!!

[@kunalasrani4612]

Hi, how you doing now??

[@mohitdubey9345]

Same report

[@kunalasrani4612]

@@mohitdubey9345 do you have symtoms??

[@mohitdubey9345]

Palpitation only

[@mohitdubey9345]

Apka number do

[@mallikarjunkumbar8464]

Hello sir last 10 years onwards I am every day suffering from left side chest pain feeling dizzy. weak.and acidity I had angiogram in Apr 2015 in that report my doctor told me I have miocardial bridging... now I consult another doctor in This year and he also make my Angiogram in Apr 2023 he given report NORMAL EPICARDIAL CORONARIES....but still every day I have Left side chest pain . Feeling weak and dizzyness. Acidity... When I walking or doing yoga my pain is increase... And. Pressure in my chest ... Doctor told me I have anxity.... But really sir I am suffering every day chest pain ... Please suggest me sir what can I do

[@mvrtech95]

In 2015 in your report have a myocardial bridge is confirm You saw your report clear

[@geoffsullivan7902]

My fathers family is now on the third generation with myocardial bridges that were not/ are not benign. Massive MI fatal/ cabg of 4-5 vessels without bridge repair/ and- I’m the only one who actually had the surgery to repair the bridge. As young as a 24 yr old cousin has died on meds ;and the majority of the first generation events were all fatal in their 40’s or early 50’s. We would be the family to study as literature is not abundant for this specific problem with myocardial bridges.

[@areebakauser7092]

Where did you have the surgery?

[@kunalasrani4612]

Cousin died on medicine for myocardial bridge or what??

[@geoffsullivan7902]

@@kunalasrani4612 no, he had a massive infarct in the helicopter on transport to U of Md. Shock Trauma. They never got him back.

[@kunalasrani4612]

@@geoffsullivan7902 he had myocardial bridge??

[@geoffsullivan7902]

@@kunalasrani4612 my father did, yes

[@enamurrahman7506]

Dr. My wife and myself have been diagnosed having MB.We are on beta blockers.The chest pain on exertion has considerably decreased in my wife, ' s case.But not completely. Any institute/ hospital in India where unroofing procedure is done

[@rens1259]

Assalamu alaikum bhai pata chale to humko bhi batana but I am planning to visit Dr Naresh Trehan in MEDANTA GURUGRAM

[@kunalasrani4612]

Hi, how you doing now??

[@mohitdubey9345]

Hello apka number send Karo

[@mohitdubey9345]

Same report

[@mohitdubey9345]

Muze bhi batana

[@jonathanhart2459]

I get alot of heart palpitations/arrhythmias and my cardiologist says my myocardial bridge is benign and to just take my beta blockers but couldn’t there be a better way ?!? Maybe uninvasive surgery ?

[@mohitdubey9345]

Same problem

[@mohitdubey9345]

Apka number do

[@kunalasrani4612]

How u doing

[@sherindumond4290]

I was given 40 mg propranol 2 a day with 2 baby chewable aspirin neuro changed my propranol to verapmil 2 to 3 months later hospital everday with chest pain headache finding out it was the verapil doing to me went back to prioranol no more headaches chest tightness its funny what med can create

[@bertrosels791]

Do they give you the aspirin for myocardial bridge?

[@327Debbie]

Dr Gupta, I meant that guy was a jerk who said all the things about being a gready indian.. Etc!! Made me angry!Ignore thise idiots please!! And do you play the piano? i play at it! 😰God bless!!

[@327Debbie]

By the way I reported him!😄

[@rakiulsheikh6037]

Mid lad show length 11mm myocardial bridging

[@rakiulsheikh6037]

Ct angiography

[@peggymicsky8607]

I've lost all respect for you. You took every good thing God gave you and used it for evil.

[@paulbirkbeck1790]

What do you mean? I am genuinly interested

[@samaelmartinus3273]

@@paulbirkbeck1790 pretty sure it's for a different channel.

[@paulbirkbeck1790]

@@samaelmartinus3273 thanks i think your right

[@Undefined-18-re4ow]

​​@@samaelmartinus3273 are you indicating to stamford?