What to do when myocardial bridges cause angina

For angina pectoris caused by coronary artery myocardial bridge, it is suggested that patients can apply beta-blockers and calcium channel blockers to reduce myocardial contractility, so as to effectively alleviate the symptoms of discomfort in the precordial region. representative drugs of beta-blockers are propranolol and metoprolol, etc. representative drugs of calcium channel blockers are diltiazem and verapamil, etc. The presence of myocardial bridges may lead to the reversal of proximal systolic anterograde blood flow, thus damaging the endothelium here and making this area prone to the formation of atherosclerotic plaques. Therefore, if necessary, anti-platelet and anti-atherosclerotic drugs, such as aspirin and clopidogrel, can also be taken in combination. Once a coronary artery myocardial bridge is diagnosed, nitrate drugs and positive inotropic drugs such as dopamine should be avoided as much as possible to avoid aggravating the symptoms of angina pectoris.