Myocardial Bridging: A Meta‐Analysis of Prevalence |
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| Authors: | Sorin Hostiuc M.D. Ph.D. Ionuț Negoi M.D. Ph.D. Mugurel C. Rusu M.D. Dr. Hab. Mihaela Hostiuc M.D. Ph.D. |
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| Affiliation: | 1. Department of Legal Medicine and Bioethics, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania;2. Department of Surgery, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania;3. Division of Anatomy, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania;4. MEDCENTER, Centre of Excellence in Laboratory Medicine and Pathology, Bucharest, Romania;5. Department of Internal Medicine and Gastroenterology, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania |
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| Abstract: | The main objective of this article was to analyze prevalence data about myocardial bridging (MB) in published studies. To this purpose, we performed a meta‐analysis of studies published in English literature that contained data about the prevalence of MB and its anatomical characteristics. The overall prevalence was 19% (CI: 17–21%); autopsy studies revealed an overall prevalence of 42% (CI: 30–55%), CT studies 22% (CI: 18–25%), and coronary angiography 6% (CI: 5–8%). Most bridges were located on the left anterior descending artery (82% overall, 63% on autopsy studies), had a mean thickness of 2.47 mm and a mean length of 19.3 mm. In conclusion, autopsy studies should be the gold standard in evaluating the actual prevalence of myocardial bridges, while in vivo high‐resolution CT scanning should be preferred to coronary angiography studies. |
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| Keywords: | forensic science myocardial bridging meta‐analysis of prevalence autopsy computed tomography coronary angiography length of myocardial bridges |
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