What is coronary microvascular disease? what are the symptoms of coronary microvascular disease, and is it true that it is more prominent between women?

Coronary : Coronary microvascular disease (mvd) affects the smallest branches of the coronary arteries, instead of the larger portions of the coronary arteries which are affected in traditional coronary atherosclerosis. Mvd has similar symptoms to traditional coronary artery disease, but it is much more common in women than men. Patients can have angina, which is chest pain, pressure, or burning that increases with activity and improves with rest. They might also experience shortness of breath with activity. The diagnosis can be difficult, but is typically made when patients have symptoms of obstructive coronary artery disease, but do not have blockages in the larger arteries. Since mvd affects the smallest arteries, they are too small to see on coronary angiography. The risk factors for mvd are the same as for traditional atherosclerosis, but perhaps there is a hormonal component to explain the increased incidence in women.

Small vessels : In the heart there are larger epicardial vessels that we bypass and stent , and smaller vessel dz that are too small to mechanically intervene. They both can cause pain but small vessel dz is treated with medications and risk factor modification. And yes its more commonly diagnosedin women.