Myocardial bridges are mainly the coronary arteries of the heart, with some areas running inside the heart muscle, hence the name myocardial bridge. Myocardial bridges are a physiological variant and most patients with myocardial bridges do not have significant clinical symptoms and do not require treatment. In the few patients who do have symptoms, the blood vessels in the muscles are squeezed when the heart contracts, resulting in a brief period of ischemia and some clinical symptoms such as chest tightness and chest pain. Beta-blockers and calcium antagonists can be taken to reduce the contraction of the heart, reduce the number of heartbeats, and prolong the diastolic coronary blood supply to improve some of the symptoms. Neither coronary dilation drugs nor stent implants are particularly effective because the heart is constantly beating, which can cause long-term compression of the implanted stent and result in damage to the stent. If the patient’s ischemia is severe and medication is not effective, surgery may be considered if necessary to cut open some of the heart muscle cells to release the blood vessels inside.