Role of myocardial bridges in arterial remodeling and atherosclerosis development
- Authors: Shakhariants A.A.1, Guileva Z.N.2, Murtazov B.M.3, Tukhigova A.S.4, Rasueva A.S.3, Kurbanov I.S.3, Bokov G.Z.3, Zagidullina V.V.5, Krotova A.R.6, Litvinova E.V.7, Sizhazheva S.A.7, Musaeva K.K.8, Garipova I.I.9, Dzhabarova A.A.6
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Affiliations:
- Stavropol State Medical University
- Dagestan State Medical University
- H.M. Berbekov Kabardino-Balkarian State University
- A.A. Kadyrov Chechen State University
- Bashkir State Medical University
- North-Western State Medical University named after I.I. Mechnikov
- V.I. Razumovsky Saratov State Medical University
- Lytkarino Hospital
- Izhevsk State Medical Academy
- Issue: Vol 17, No 2 (2025)
- Pages: 5-16
- Section: Reviews
- Submitted: 21.01.2025
- Accepted: 09.06.2025
- Published: 30.07.2025
- URL: https://journals.eco-vector.com/vszgmu/article/view/646478
- DOI: https://doi.org/10.17816/mechnikov646478
- EDN: https://elibrary.ru/ARBNNO
- ID: 646478
Cite item
Abstract
Myocardial bridges represent segments of coronary arteries partially covered by myocardial muscle fibers. Although myocardial bridges were previously thought to be rare, recent studies indicate an increase in their prevalence, which has been associated with acute coronary syndromes, arrhythmias, myocardial infarction, and even sudden cardiac death. Some authors suggest that myocardial bridges may contribute to the formation of atherosclerotic plaques in the proximal part of the coronary arteries. Autopsy findings also demonstrate increased atherosclerotic plaque formation at sites of arterial obliteration, suggesting a shared pathogenic mechanism in the intima-media layer.
This review summarizes current knowledge regarding the role of myocardial bridges in vascular remodeling and atherosclerosis progression, while identifying gaps requiring further investigation.
The authors conducted a search of publications in the electronic databases PubMed, Google Scholar, and eLibrary using the following keywords: “atherosclerosis and myocardial bridges”, “myocardial bridges and cardiovascular diseases”, “pathophysiology of myocardial bridges”, “visualization of the cardiovascular system”, “myocardial bridges”. All works published between 1951 and 2024 were included.
The obstructive mechanism involves compression of the intramural segment of the coronary artery by myocardial tissue during systole. Hemodynamic conditions created by myocardial bridges typically feature elevated wall shear stress due to the narrowing of the arterial lumen during systole, thereby minimizing plaque formation within the bridge itself. However, proximal to the myocardial bridges, wall shear stress decreases, creating favorable conditions for atherosclerotic plaque development.
Myocardial bridges influence the thickness of the intima and the area of the arterial lumen, as well as the segments located proximally and distally. The location, thickness, and length of myocardial bridges directly affect the degree of obstruction and intimal hypertrophy. Vascular remodeling under mechanical forces plays a crucial role in maintaining vessel function, and its disruption can lead to cardiovascular disease.
Full Text

About the authors
Artem A. Shakhariants
Stavropol State Medical University
Author for correspondence.
Email: saharancartem@gmail.com
ORCID iD: 0009-0008-7371-7121
Russian Federation, 310 Mira St., Stavropol, 355017
Zarina N. Guileva
Dagestan State Medical University
Email: zarinaguleva@gmail.com
ORCID iD: 0009-0008-7486-2566
Russian Federation, Makhachkala
Bai-Ali M. Murtazov
H.M. Berbekov Kabardino-Balkarian State University
Email: bajalimurtazov@gmail.com
ORCID iD: 0009-0009-0054-4343
Russian Federation, Nalchik
Aminat S. Tukhigova
A.A. Kadyrov Chechen State University
Email: ami_tkhgva@mail.ru
ORCID iD: 0009-0004-0107-6370
Russian Federation, Grozny
Aminat S. Rasueva
H.M. Berbekov Kabardino-Balkarian State University
Email: abdulla999asd@icloud.com
ORCID iD: 0009-0008-2450-0583
Russian Federation, Nalchik
Isa S. Kurbanov
H.M. Berbekov Kabardino-Balkarian State University
Email: isa.kurbanov.24@mail.ru
ORCID iD: 0009-0004-6655-5516
Russian Federation, Nalchik
Gapur Z. Bokov
H.M. Berbekov Kabardino-Balkarian State University
Email: gapurbokov006@mail.ru
ORCID iD: 0009-0002-5561-8249
Russian Federation, Nalchik
Velena V. Zagidullina
Bashkir State Medical University
Email: zagvelena01@mail.ru
ORCID iD: 0009-0006-5378-0807
Russian Federation, Ufa
Arina R. Krotova
North-Western State Medical University named after I.I. Mechnikov
Email: arina.krotova.95@bk.ru
ORCID iD: 0009-0007-4301-6167
Russian Federation, Saint Petersburg
Ekaterina V. Litvinova
V.I. Razumovsky Saratov State Medical University
Email: yekaterina.litvinova.2003@mail.ru
ORCID iD: 0009-0008-5304-824X
Russian Federation, Saratov
Sataney A. Sizhazheva
V.I. Razumovsky Saratov State Medical University
Email: sizhazhevas@internet.ru
ORCID iD: 0009-0002-8909-2978
Russian Federation, Saratov
Khutmat Kh. Musaeva
Lytkarino Hospital
Email: khutmatm@gmail.com
ORCID iD: 0009-0008-7531-289X
Russian Federation, Lytkarino
Ilnara I. Garipova
Izhevsk State Medical Academy
Email: igaripova62@gmail.com
ORCID iD: 0009-0007-1586-8231
Russian Federation, Izhevsk
Anastasiia A. Dzhabarova
North-Western State Medical University named after I.I. Mechnikov
Email: anasdzhabarova@mail.ru
ORCID iD: 0009-0002-7493-8280
Russian Federation, Saint Petersburg
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