title: [Organic and functional limitations due to milking phenomenon: a clinical case report].
abstract: BACKGROUND
  The incidence of milking phenomenon is between 0.6 and 4 % in angiographic series; however, autopsy studies raise the incidence of myocardial bridges up to 85 %. This malformation goes unnoticed in most cases but can have a big impact on personal and professional level. The objective was to present an example of milking phenomenon with disability and professional consequences.
  
  
  METHODS
  Male, 44 years old, bricklayer and farmhand laborer. He referred tonsillectomy and osteoarthritis and being a smoker of 10 cigarettes per day, drinking 2-3 cups of coffee daily and 2-3 glasses of wine at the weekends. The primary care physician referred him to cardiologist with suspicion of arrhythmia. The cardiology service report mentioned electrocardiogram at sinusal rhythm, 90 beats per minute and incomplete right bundle-branch block. At ergonomics test, in the first stage of Bruce protocol, the patient's development of hypertensive crisis suggested a milking phenomenon. Finally, the diagnosis was established by angiographic studies with left common branch, circumflex coronary artery, right coronary artery and anterior descendent artery, without evidence of pathology but it was seen systolic compression on the medial segment. The case was concluded by the disability assessment team, recognizing a total permanent disability with limitations for activities requiring moderate physical efforts.
  
  
  CONCLUSIONS
  The milking phenomenon diagnosis that could be related with ischemic heart disease is by angiography. Finally, the patient ended with total permanent disability.
authors.affiliation: Unidad Médica del Equipo de Valoración de Incapacidades, Instituto Nacional de la Seguridad Social, Huelva, España. juancag@ono.com.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Gómez-Henry
authors.forename: Francisco Antonio
authors.initials: FA
authors.lastname: Rodríguez-Pérez
mesh_terms: D000328:Adult; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D008297:Male
keywords: Disability insurance; Myocardial bridge