Evidence map›Paper›PMID 41860495›Full record

ArticleJACC. Case reports2026

Multimodality Assessment of a Culprit LAD Myocardial Bridge in a Patient With Congenital Heart Disease.

Som Singh, Goutham Ravipati, Harnoor Mann, Santosh Uppu, Kiran Mallula, Danny Ramzy, Igor D Gregoric, Biswajit Kar, Sukhdeep Singh Basra

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Som SinghDepartment of Internal Medicine, University of Texas Health Science Center at Houston, Houston, Texas, USA. Electronic address: som.p.singh@uth.tmc.edu.
Goutham RavipatiDepartment of Cardiology, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Harnoor MannDepartment of Cardiology, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Santosh UppuDepartment of Cardiology, University of Texas Health Science Center at Houston, Houston, Texas, USA; Division of Pediatric Cardiology, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Kiran MallulaDivision of Pediatric Cardiology, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Danny RamzyDepartment of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Igor D GregoricDepartment of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Biswajit KarDepartment of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Sukhdeep Singh BasraDepartment of Cardiology, University of Texas Health Science Center at Houston, Houston, Texas, USA; Department of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Center at Houston, Houston, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyocardial bridging is a congenital coronary anomaly in which a segment of an epicardial artery is tunneled within the myocardium. Although many cases remain asymptomatic, hemodynamically significant bridges may require surgical intervention. CASE SUMMARY: A 57-year-old man with a history of an unrepaired ventricular septal defect presented with recurrent chest pain. Initial imaging identified a 4.7-cm myocardial bridge in the left anterior descending artery. Functional testing with fractional flow reserve, instantaneous wave-free ratio, and diastolic hyperemia-free ratio confirmed hemodynamic significance. Optical coherence tomography was performed to further visualize the segment. The patient underwent successful surgical unroofing, resulting in complete symptom resolution. DISCUSSION: This case highlights a multimodal intracoronary approach incorporating intracoronary anatomical and physiological testing to determine the hemodynamic significance of myocardial bridging. TAKE-HOME MESSAGE: Multimodal intracoronary anatomical and physiological testing is imperative for diagnosing myocardial bridges in patients presenting with undifferentiated angina, thereby influencing management.

Indexed as

casediastolic hyperemia-free ratiofractional flow reserveinstantaneous wave-free ratiomyocardial bridgeoptical coherence tomography

Identifiers

PMID41860495
PMCPMC13130891

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.