Abstract
A 46-year-old male presented with acute chest pain, monomorphic ventricular tachycardia, and non-ST-segment elevation myocardial infarction. He was found to have myocardial bridging of the mid left anterior descending coronary artery on coronary angiography and mildly reduced left ventricular ejection fraction with anteroseptal and apical hypokinesia. The patient was treated with antiplatelet therapy, guideline-directed medical therapy for heart failure, and had improvement in symptoms and left ventricular function 1 month later. The case highlights the complex way myocardial bridging may present and its potential to cause major adverse cardiovascular events.