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Journals / Balıkesir Sağlık Bilimleri Dergisi / 2026 / Volume: 15 Issue: 1

Prevalence, Demographic Characteristics and Gender Differences of Myocardial Bridging: A Single-Centre Experience

Miyokard Köprüleşmenin Yaygınlığı, Demografik Özellikleri ve Cinsiyet Farklılıkları: Tek Merkez Deneyimi

Onur Argan(BALIKESİR ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, KARDİYOLOJİ ANABİLİM DALI)0000-0001-7745-7736
İbrahim Tanrıöğen(BALIKESIR UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-7900-4236
Husnu Aytug Hoshan(BALIKESIR UNIVERSITY, SCHOOL OF MEDICINE)0009-0009-6276-6267
Hüseyin Hamza Karagoz(BALIKESIR UNIVERSITY, SCHOOL OF MEDICINE)0009-0004-8756-645X
Özgen Şafak(BALIKESIR UNIVERSITY, SCHOOL OF MEDICINE)0000-0001-8245-0117
Tarık Yıldırım(BALIKESIR UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-6314-7371
Mehmet Tolga Hekim(BALIKESIR UNIVERSITY, SCHOOL OF MEDICINE)0000-0001-6540-2244
Seda Elcim Yildirim(BALIKESIR UNIVERSITY, SCHOOL OF MEDICINE)0000-0001-5175-0491
Didar Elif Akgun(BALIKESIR UNIVERSITY, SCHOOL OF MEDICINE)0000-0001-6618-180X
Eyüp Avcı(BALIKESIR UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-7790-8450
Halil Lütfi Kısacık(BALIKESIR UNIVERSITY, SCHOOL OF MEDICINE)0000-0003-1102-8239
Pages
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Publication Date
2026-02-28
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

No gender-based differences were observed in MB length, vessel distribution, or compression rate.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Myocardial bridging (MB) is a congenital anomaly in which an epicardial coronary artery courses intramyocardially.
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Key Findings & Data:Materials and Methods: A total of 2950 patients who underwent invasive coronary angiography (CA) were retrospectively evaluated.
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Conclusion & Impact:No gender-based differences were observed in MB length, vessel distribution, or compression rate.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Coronary Angiography · Myocardial Bridging · Prevalence

Abstract

Objective: Myocardial bridging (MB) is a congenital anomaly in which an epicardial coronary artery courses intramyocardially. MB-related compression is often asymptomatic but can rarely cause sudden cardiac death, arrhythmia, or ischemia. This study aimed to investigate the prevalence, demographic characteristics, and gender differences of MB. Materials and Methods: A total of 2950 patients who underwent invasive coronary angiography (CA) were retrospectively evaluated. Clinical characteristics, biochemical/hematological parameters, and angiographic findings were compared between genders. Results: MB was identified in 119 (4%) patients, of whom 75 (63%) were males and 44 (37%) were females. The mean age of patients was 61.4±10.6 yr. Among patients with MB, 60.5% had hypertension, 31.9% had diabetes mellitus, 53.8% had coronary artery disease, and 47.9% were smokers. MB was most frequently detected in the mid segment of the left anterior descending artery (LAD) in 61 patients (51.3%). No significant gender differences were observed in MB length, vessel distribution, or compression rate. Conclusion: MB is not an uncommon finding during invasive CA in middle-aged patients. The prevalence was 4% in our study. The most common site was the mid segment of the LAD. No gender-based differences were observed in MB length, vessel distribution, or compression rate.

Özet

Amaç: Miyokardiyal köprüleşme (MB), epikardiyal koroner arterin intramiyokardiyal seyir gösterdiği konjenital bir anomalidir. MB kaynaklı kompresyon genellikle asemptomatiktir, ancak nadiren ani kardiyak ölüm, aritmi veya iskemiğe neden olabilir. Bu çalışma, MB’nin prevalansını, demografik özelliklerini ve cinsiyet farklılıklarını araştırmayı amaçlamaktadır. Gereç ve Yöntem: İnvaziv koroner anjiyografi (KA) yapılan toplam 2950 hasta retrospektif olarak değerlendirildi. Klinik özellikler, biyokimyasal/hematolojik parametreler ve anjiyografik bulgular cinsiyetler arasında karşılaştırıldı. Bulgular: MB, 119 (%4) hastada saptandı; bunların 75'i (%63) erkek, 44'ü (%37) kadındı. Hastaların ortalama yaşı 61,4±10,6 idi. MB'li hastaların %60,5'inde hipertansiyon, %31,9'unda diabetes mellitus, %53,8'inde koroner arter hastalığı ve %47,9'unda sigara içme öyküsü vardı. MB en sık 61 hastada (%51,3) sol ön inen arterin (LAD) orta segmentinde saptandı. MB uzunluğu, damar dağılımı veya kompresyon oranı açısından cinsiyetler arasında anlamlı bir fark gözlenmedi. Sonuç: MB, orta yaşlı hastalarda invaziv CA sırasında sık görülen bir bulgu değildir. Çalışmamızda prevalansı %4 idi. En sık görülen bölge LAD'nin orta segmentiydi. MB uzunluğu, damar dağılımı veya kompresyon oranı açısından cinsiyetler arasında bir fark gözlenmedi.

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Cite This Article

Argan, O., Tanrıöğen, İ., Hoshan, H. A., Karagoz, H. H., Şafak, Ö., Yıldırım, T., Hekim, M. T., Yildirim, S. E., Akgun, D. E., Avcı, E., Kısacık, H. L. (2026). Prevalence, Demographic Characteristics and Gender Differences of Myocardial Bridging: A Single-Centre Experience. Balıkesir Sağlık Bilimleri Dergisi, Volume: 15 Issue: 1. https://doi.org/10.53424/balikesirsbd.1806619

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