# Myocardial Bridging-Induced Acute Coronary Syndrome: A Bridge Too Far

## TL;DR

A 37-year-old man with no risk factors for heart disease had a heart attack linked to a heart condition called myocardial bridging.

## Contribution

Highlights myocardial bridging as a potential cause of acute coronary syndrome in young patients without traditional risk factors.

## Key findings

- A young patient with myocardial bridging experienced a heart attack without typical risk factors.
- Successful treatment involved medical therapy and intervention without affecting the bridged segment.
- Myocardial bridging may contribute to major adverse cardiovascular events.

## Abstract

Recent studies suggest a potential association between myocardial bridging (MB) and accelerated atherosclerotic plaque formation. We describe the case report of a 37-year-old South Asian male with no established risk factors for coronary artery disease (CAD) who presented with a non-ST-segment-elevation acute coronary syndrome (NSTE-ACS) with a coincident widowmaker lesion and severe MB. He was successfully managed with comprehensive guideline-directed medical therapy (GDMT) and urgent percutaneous coronary intervention (PCI) of the culprit lesion, sparing the MB segment. The clinician should be cognizant of MB implicating ACS as a major adverse cardiovascular event (MACE) and its key management strategies.