Iranian Journal of Radiology

Published by: Kowsar

Diagnostic Ability of 384-Slice Computed Tomographic Angiography in Prediction of Myocardial Ischemia in Patients with Myocardial Bridging (MB) as Compared to SPECT-MPI Examination

Majid Maleki 1 , Ali Zahedmehr 2 , Bahar Galeshi 3 , Nahid Yaghoobi 4 , Ahmad Bitarafan-Rajabi 4 , Maryam Mohammadzadeh 5 , Ali Abbasian Ardakani 6 , Ali Pourvaziri 7 , Dorna Charkheshi 1 , Ali Kazem Mousavi 3 and Ali Mohammadzadeh 8 , *
Authors Information
1 Department of Cardiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
2 Department of Interventional Cardiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
3 Senior Cardiology Resident, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
4 Department of Nuclear Medicine, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
5 Department of Radiology, Amiralam Hospital, Tehran University of Medical Sciences, Tehran, Iran
6 Department of Medical Physics, Iran University of Medical Sciences, Tehran, Iran
7 Advanced Diagnostic and Interventional Radiology Research Center, Tehran University of Medical Sciences, Tehran, Iran
8 Department of Radiology, Rajaie Cardiovascular and Medical Research Center, Iran University of Medical Sciences, Tehran, Iran
Article information
  • Iranian Journal of Radiology: July 2018, 15 (3); e55964
  • Published Online: May 20, 2018
  • Article Type: Research Article
  • Received: July 1, 2017
  • Revised: December 30, 2017
  • Accepted: January 6, 2018
  • DOI: 10.5812/iranjradiol.55964

To Cite: Maleki M, Zahedmehr A, Galeshi B, Yaghoobi N, Bitarafan-Rajabi A, et al. Diagnostic Ability of 384-Slice Computed Tomographic Angiography in Prediction of Myocardial Ischemia in Patients with Myocardial Bridging (MB) as Compared to SPECT-MPI Examination, Iran J Radiol. 2018 ; 15(3):e55964. doi: 10.5812/iranjradiol.55964.

Copyright © 2018, Iranian Journal of Radiology. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Rovai D, Di Bella G, Pingitore A, Coceani M. Myocardial bridging: a review with emphasis on electrocardiographic findings. Ann Noninvasive Electrocardiol. 2015;20(2):103-7. doi: 10.1111/anec.12242. [PubMed: 25530097].
  • 2. Hazirolan T, Canyigit M, Karcaaltincaba M, Dagoglu MG, Akata D, Aytemir K, et al. Myocardial bridging on MDCT. AJR Am J Roentgenol. 2007;188(4):1074-80. doi: 10.2214/AJR.06.0417. [PubMed: 17377050].
  • 3. Alegria JR, Herrmann J, Holmes DJ, Lerman A, Rihal CS. Myocardial bridging. Eur Heart J. 2005;26(12):1159-68. doi: 10.1093/eurheartj/ehi203. [PubMed: 15764618].
  • 4. Angelini P, Trivellato M, Donis J, Leachman RD. Myocardial bridges: a review. Prog Cardiovasc Dis. 1983;26(1):75-88. doi: 10.1016/0033-0620(83)90019-1. [PubMed: 6346395].
  • 5. Kim PJ, Hur G, Kim SY, Namgung J, Hong SW, Kim YH, et al. Frequency of myocardial bridges and dynamic compression of epicardial coronary arteries: a comparison between computed tomography and invasive coronary angiography. Circulation. 2009;119(10):1408-16. doi: 10.1161/CIRCULATIONAHA.108.788901. [PubMed: 19255347].
  • 6. Porstmann W, Iwig J. [Intramural coronary vessels in the angiogram]. Fortschr Geb Rontgenstr Nuklearmed. 1960;92:129-33. doi: 10.1055/s-0029-1226492. [PubMed: 14434245].
  • 7. Konen E, Goitein O, Sternik L, Eshet Y, Shemesh J, Di Segni E. The prevalence and anatomical patterns of intramuscular coronary arteries: a coronary computed tomography angiographic study. J Am Coll Cardiol. 2007;49(5):587-93. doi: 10.1016/j.jacc.2006.09.039. [PubMed: 17276183].
  • 8. Ge J, Jeremias A, Rupp A, Abels M, Baumgart D, Liu F, et al. New signs characteristic of myocardial bridging demonstrated by intracoronary ultrasound and Doppler. Eur Heart J. 1999;20(23):1707-16. doi: 10.1053/euhj.1999.1661. [PubMed: 10562478].
  • 9. Schwarz ER, Klues HG, vom Dahl J, Klein I, Krebs W, Hanrath P. Functional characteristics of myocardial bridging. A combined angiographic and intracoronary Doppler flow study. Eur Heart J. 1997;18(3):434-42. doi: 10.1093/oxfordjournals.eurheartj.a015263. [PubMed: 9076380].
  • 10. Kantarci M, Duran C, Durur I, Alper F, Onbas O, Gulbaran M, et al. Detection of myocardial bridging with ECG-gated MDCT and multiplanar reconstruction. AJR Am J Roentgenol. 2006;186(6 Suppl 2):S391-4. doi: 10.2214/AJR.05.0307. [PubMed: 16714614].
  • 11. Thomson V, Botnar R, Croisille P. Usefulness of MRI to demonstrate the mechanisms of myocardial ischemia in hypertrophic cardiomyopathy with myocardial bridge. Cardiology. 2007;107(3):159-64. doi: 10.1159/000094746. [PubMed: 16888385].
  • 12. Javadrashid R, Tarzamni MK, Aslanabadi N, Ghaffari M, Salehi A, Sorteji K. Myocardial bridging and coronary artery anomalies detected by ECG-gated 64-row multidetector computed tomography angiography in symptomatic patients. Folia Morphol (Warsz). 2009;68(4):201-6. [PubMed: 19950067].
  • 13. Stănescu A, Suciu Z, Rat N, Morariu M, Chiţu M. CT-based assessment of myocardial bridging in patients with acute chest pain and no atherosclerotic etiology. J Cardiovasc Emerg. 2016;2(2). doi: 10.1515/jce-2016-0011.
  • 14. Motarjem P, Zimmerman S. Pearls and Pitfalls in Cardiovascular Imaging: Pseudolesions, Artifacts and Other Difficult Diagnoses. Cambridge University Press; 2015.
  • 15. Hesse B, Tagil K, Cuocolo A, Anagnostopoulos C, Bardies M, Bax J, et al. EANM/ESC procedural guidelines for myocardial perfusion imaging in nuclear cardiology. Eur J Nucl Med Mol Imaging. 2005;32(7):855-97. doi: 10.1007/s00259-005-1779-y. [PubMed: 15909197].
  • 16. Sabharwal NK, Lahiri A. Role of myocardial perfusion imaging for risk stratification in suspected or known coronary artery disease. Heart. 2003;89(11):1291-7. doi: 10.1136/heart.89.11.1291. [PubMed: 14594881]. [PubMed Central: PMC1767933].
  • 17. Vales L, Kanei Y, Fox J. Coronary artery occlusion and myocardial infarction caused by vasospasm within a myocardial bridge. J Invasive Cardiol. 2010;22(4):E67-9. [PubMed: 20351399].
  • 18. Li JJ. Is myocardial bridging a bridge connecting to cardiovascular events? Chin Med J (Engl). 2010;123(7):964-8. [PubMed: 20497696].
  • 19. Li ZF, Yang SG, Ge JB. Acute myocardial infarction due to myocardial bridge. Chin Med J (Engl). 2012;125(19):3589-90. [PubMed: 23044332].
  • 20. Nieman K, Coenen A. Myocardial Enhancement Defects on CT Angiograms: Promising Prognosticator or Water Under the Bridge? JACC Cardiovasc Imaging. 2015;8(6):695-6. doi: 10.1016/j.jcmg.2015.02.011. [PubMed: 26068286].
  • 21. La Grutta L, Runza G, Lo Re G, Galia M, Alaimo V, Grassedonio E, et al. Prevalence of myocardial bridging and correlation with coronary atherosclerosis studied with 64-slice CT coronary angiography. Radiol Med. 2009;114(7):1024-36. doi: 10.1007/s11547-009-0446-y. [PubMed: 19697102].
  • 22. Kim SY, Lee YS, Lee JB, Ryu JK, Choi JY, Chang SG, et al. Evaluation of myocardial bridge with multidetector computed tomography. Circ J. 2010;74(1):137-41. doi: 10.1253/circj.CJ-09-0407. [PubMed: 19966506].
  • 23. Dominguez B, Valderrama V, Arrocha R, Lombana B. [Myocardial bridging as a cause of coronary insufficiency]. Rev Med Panama. 1992;17(1):28-35. [PubMed: 1603985].
  • 24. Nakanishi R, Rajani R, Ishikawa Y, Ishii T, Berman DS. Myocardial bridging on coronary CTA: an innocent bystander or a culprit in myocardial infarction? J Cardiovasc Comput Tomogr. 2012;6(1):3-13. doi: 10.1016/j.jcct.2011.10.015. [PubMed: 22264630].
  • 25. De Giorgio F, Grassi VM, Polacco M, Pascali VL, d'Aloja E, Arena V. Myocardial bridging and sudden cardiac death: is the actual classification exhaustive? Int J Cardiol. 2014;172(3):e383-4. doi: 10.1016/j.ijcard.2013.12.286. [PubMed: 24508108].
  • 26. Arjmand Shabestari A, Azma R, Nourmohammad A, Shakiba M. Systolic Compression of a Myocardial Bridged Coronary Artery and its Morphologic Characteristics: A Combination Study of Computed Tomography Angiography and Invasive Angiography. Iran J Radiol. 2016;13(4). e31647. doi: 10.5812/iranjradiol.31647. [PubMed: 27895870]. [PubMed Central: PMC5116748].
  • 27. Niu YJ, Zhang XL, Cao AD, Leng B. Clinical value of the correlations of mural coronary artery compression extent with myocardial bridge length and thickness evaluated by 128-slice CT. Exp Ther Med. 2013;5(3):848-52. doi: 10.3892/etm.2012.879. [PubMed: 23408740]. [PubMed Central: PMC3570202].
  • 28. Wang D, Sun JP, Lee AP, Ma GS, Yang XS, Yu CM, et al. Evaluation of left ventricular function by three-dimensional speckle-tracking echocardiography in patients with myocardial bridging of the left anterior descending coronary artery. J Am Soc Echocardiogr. 2015;28(6):674-82. doi: 10.1016/j.echo.2015.02.012. [PubMed: 25795472].
  • 29. Kim SS, Ko SM, Song MG, Hwang HG. Systolic luminal narrowing and morphologic characteristics of myocardial bridging of the mid-left anterior descending coronary artery by dual-source computed tomography. Int J Cardiovasc Imaging. 2011;27 Suppl 1:73-83. doi: 10.1007/s10554-011-9959-2. [PubMed: 21997576].
  • 30. Aydin A, Cubuk R, Atasoy MM, Gurol T, Soylu O, Dagdeviren B. The morphologic and functional features of LAD myocardial bridging at multi-detector computed tomography coronary angiography: correlation with coronary artery disease. Turk Kardiyol Dern Ars. 2015;43(1):31-7. doi: 10.5543/tkda.2015.23672. [PubMed: 25655848].
  • 31. Görmeli CA, Yağmur, J , Özdemir, R , Özdemir, Z. M , Sağır, A , Kahraman, C. Ç . Comparison of myocardial bridging prevalence using 64-slice versus 256-slice computed tomography scanners: What has changed with recent innovations in CT? Biomed Res. 2016;27(3):954-8.

Featured Image:

Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments