Question 1

how do you diagnose microvascular angina?

Accepted Answer

Cardiac testing: Microvascular angina occurs when there is a reduction in blood flow to the heart unrelated to blockages in the large arteries that provide oxygen and nutrients to the heart itself. This is related to problems with smaller arteries within the muscle of the heart. It can cause the same sort of chest discomfort. It is most commonly seen in diabetics and hypertensives with thick heart muscle.

Question 2

can you describe microvascular angina?

Accepted Answer

Unseen vessel: Hello paris --
microvascular angina is more common in women -- these are chest pain caused by smaller blood vessels within the heart muscle -- and usually undetectable by the naked eyes.

Question 3

how serious is having microvascular angina?

Accepted Answer

Serious: This is small vessel disease. It is usually best treated with Ranexa (ranolazine) - but since each patient is different, and may have other comorbidities, a comprehensive evaluation by a cardiologist is essential.

Question 4

i'm having chest pains. could it be microvascular angina?

Accepted Answer

Yes: It certainly can be.  Chest pain that is exertional in nature should be investigated by a stress test and if there is some suspicion or an abnormal ekg, possibly an imaging stress test.  Several imaging tests will show the possibility of microvascular insufficiency of the heart (nuclear stress testing, pet, and mri).

Question 5

what are markers for microvascular angina in hypertensive patients?

Accepted Answer

The company it keeps: There are no "markers" for microvascular angina, per se. The diagnosis can be made invasively at specialized centers (only a few around the country), but often is based on a "gestalt" of suggestive symptoms, sometimes with evidence of impaired blood flow ("ischemia") on stress tests, in a person with traditional heart disease risk factor, when typical angiograms show no blockages.

Question 6

told i have microvascular dysfunction in heart. prescribed ranexa. if they are wrong and its not angina, can ranexa hurt a healthy heart? i wanna try

Accepted Answer

Microvascular angina: Need to know more details. This is a diagnosis made by exclusion and the drug is not without side effects including EKG changes so it is affecting "the heart" that is why it is given.Happy to do 2nd opinion to get and give more information. I would consider other methods to treat this. 1. nitroglycerin. 2. Weight loss. 3. Low sodium diet or DASH eating plan which may improve by lowering BP.

Question 7

how is angina  diagnose  and the suptoms?

Accepted Answer

Symptoms and tests: Symptoms: chest pain, shortness of breath, sweating, vomiting, shoulder pain  tests: ekg blood work, stress test etc.

Question 8

we all know chest burn/discomfort/sob can be from gi or other causes.how can you diagnose angina clinically.would angina symptoms only during exertion?

Accepted Answer

Chest pain: Typical angina pectoris is a squeezing sensation in the chest brought on by exericse, excitement or other form of physical or psychologic stress. When the the typical type of pain happens at rest, we call that pre infarction angina.

Question 9

can an ekg diagnose angina? what would it show that would make the doctor suspect angina?

Accepted Answer

Yes: Usually only during angina episode the ekg might show st depression in the corresponding leads.During vasospatic angina you may see st elevation.
That is why we do stress testing to reproduce the angina!
many a time the ekg may not change although the disease may be there!

Question 10

how do you get angina?

Accepted Answer

Angina: Angina is the pain produced by not enough blood flow to the heart muscle. Both exercise and stress increase the heart need for blood flow to the muscle. When the demand rises and the narrowed arteries don;t allow the supply to increase, angina results.

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Doctor answers about:

How do you diagnose microvascular angina

A member asked:

How do you diagnose microvascular angina?

A member asked:

Can you describe microvascular angina?

A member asked:

How serious is having microvascular angina?

A member asked:

I'm having chest pains. could it be microvascular angina?

A member asked:

What are markers for microvascular angina in hypertensive patients?

A member asked:

Told i have microvascular dysfunction in heart. prescribed ranexa. if they are wrong and its not angina, can ranexa hurt a healthy heart? i wanna try

A member asked:

How is angina diagnose and the suptoms?

A member asked:

We all know chest burn/discomfort/sob can be from gi or other causes.how can you diagnose angina clinically.would angina symptoms only during exertion?

A member asked:

Can an ekg diagnose angina? what would it show that would make the doctor suspect angina?

A member asked:

How do you get angina?

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