Do coronary myocardial bridges require long-term medication?

Whether patients with myocardial bridges need long-term medication depends on whether the malformed blood vessels have caused myocardial ischemia. If symptoms occur, they will need lifelong medication and, if necessary, surgical treatment. 1. In mild cases of myocardial bridges, the extrusion of the coronary arteries during cardiac contraction is not serious and does not cause obvious symptoms of myocardial ischemia, so it can be left untreated for the time being. 2. If the blood vessels of myocardial bridge patients travel deeper into the myocardium, myocardial ischemia symptoms such as palpitations, chest tightness, chest pain, etc. will be more serious during myocardial contraction. This kind of patients need to take medication regularly for a long period of time under the guidance of the doctor, commonly used β-blockers, calcium channel blockers, etc., such as: metoprolol, verapamil, diltiazem and so on. The purpose of drug treatment is to reduce the degree of systolic compression of the wall coronary arteries and improve the perfusion of coronary arteries. 3. Surgery: Surgery can be performed for MB patients with ineffective drug therapy, systolic coronary angiography showing stenosis greater than 80%, diastolic stenosis, evidence of myocardial ischemia or myocardial infarction, and myocardial release of myocardial bridge segments or coronary artery bypass grafting surgery. In addition, some patients with myocardial bridges have a high degree of vascular compression during myocardial contraction and may require surgical intervention.