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  Understanding Myocardial Bridging: A Hidden Cause of Chest Pain and Hypertension By SB Lee, MD, PhD Keywords : Myocardial bridge, LAD artery, coronary CTA, chest pain, hypertension, coronary artery anomaly, angina, ischemia Introduction Myocardial bridging (MB) is a congenital coronary anomaly where a segment of a coronary artery tunnels through the myocardium rather than resting on its surface. Although often considered a benign anatomical variant, recent evidence suggests that MB can have significant clinical implications, especially when associated with exertional chest pain, hypertension, and ischemia. This article presents an expert-level review based on a case involving a 64-year-old woman who presented with severe hypertension and chest pain and was ultimately diagnosed with myocardial bridging of the mid-left anterior descending (LAD) artery. Case Summary A 64-year-old woman arrived at the emergency department with complaints of severe chest pain and uncontrolled ...