A member asked:

What's the distinguishing symptoms of microvascular angina? does it show up on ecg during or after chest pain episodes? if so, what to look for on ecg? does medication treatment for mva reduce risks for mi/stroke or merely provide symptomatic relief?

2 doctors weighed in across 2 answers
Dr. Mark Owolabi answered

Specializes in Family Medicine

Angina typically manifest with chest pain or pressure that is provoked by activity and relieved by rest. It may be associated with shortness of breath, nausea, sweating, or fatigue. It may or may not show up on ECG. If one is experiencing angina, cardiology evaluation & treatment is necessary to reduce risk of MI/stroke. Medications do not only reduce symptoms, but mortality as well.

Answered 4/28/2022

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Years ago some called this a somewhat benign secretary's syndrome because we saw this predominantly in young women with a good prognosis.. Spasm of tiny cardiac arteries plays a role and there is no coronary artery calcium or plaque build up. Modern cardiologists, however, consider microvascular angina a risk for heart attacks & ischemic strokes and treat these patients more aggressively.

Answered 4/28/2022

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