I (38, Male, non-smoking, 5'9" 69 k.g.) was diagnosed with a myocardial bridge late last year. As part of health check up for insurance, I underwent a treadmill test, and was told that it was "positive for ischemic heart disease". I had no symptoms whatsoever.
I went for CT coronary angiography, and the following was reported:
1. calcium score zero
2. RCA, AM normal. no stenosis.occlusion
3. PDA, PLVB, normal. Filling from RCA. no stenosis.
4. Left main: normal in course and caliber-no stenosis. Divides into LAD, LCX and Ramus Intermedius.
5. LAD: Type III. short segment myocardial bridging seen in mid segment.LAD normal in course and caliber. No evidence of stenosis.
6. Diagonal, LCX, Ramus, OM1, OM2 all normal and no stenosis.
Doctor suggested no interventions. I wanted a second opinion as I have two young kids. Recently, I went to another cardiologist recommended by a relative, and he said the definitive evidence could be got by a real time test where in they injected some dye through a catheter, and checked the blockage in the LAD. He said it was fine, but prescribed beta or calcium blockers.
My questions are:
1. Should I take medicines? I know long term usage may have repercussions.
2. Is my heart suffering from ischemia? Is the myocardial bridge damaging my heart muscles? I don't want to drop dead suddenly.
3. I have no shortage of breath, but since 3-4 days I seem to have slight twinges(not pain) in the chest area when brushing my teeth. There is quite a bit of stress at work these days- I am changing my job, and things will get better in 1-2 months. Could these twinges be because of any heart problems?
4. Is it OK to exercise- yoga, cricket, cardio, etc.
Many thanks in advance,