Might mean (unverified): Pertaining to the heart muscle.
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We found 2 dictionaries that define the word myocardially:

General (1 matching dictionary)
  1. myocardially: Wiktionary

Medicine (1 matching dictionary)
  1. myocardially: Merriam-Webster Medical Dictionary

Definitions from Wiktionary (myocardially)

adverb:  Via the myocardium

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