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Doctor insights on: How Do You Diagnose Microvascular Angina

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How do you diagnose microvascular angina?

How do you diagnose microvascular angina?

By Exclusion: It's generally a diagnosis of exclusion, when one can't find another reason for symptoms of angina. It would require a catheterization with coronary angiogram to exclude blockages in the larger coronary arteries on the surface of the heart. Also an echocardiogram might be done to exclude valvular heart disease. It's more common in women and treated usually with beta blockers such as metoprolol. ...Read more

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Dr. Gutti Rao
1,646 doctors shared insights

Angina (Definition)

Angina is chest pain that is caused by poor blood flow to the heart muscle. Angina is not an actual disease, but rather a symptom of an existing heart problem. Most commonly, this underlying problem is due to an obstruction of the coronary blood vessels that surround the heart. There are different types of angina including stable angina, unstable ...Read more


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Can you describe microvascular angina?

Can you describe microvascular angina?

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. ...Read more

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How serious is having microvascular angina?

How serious is having microvascular angina?

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. ...Read more

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

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

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). ...Read more

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What are markers for microvascular angina in hypertensive patients?

What are markers for microvascular angina in hypertensive patients?

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. ...Read more

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How is angina diagnose and the suptoms?

How is angina  diagnose  and the suptoms?

Ok: Angina is the symptom. Cardiac ischemia related chest and substernal crushing chest pain with radiation to anterior neck and arm. Relieved by rest, oxygen, Nitroglycerin generally. No heart damage done with he spell. No enzyme release. If it gets worse, does not stop, and damage done, it is a heart attack with myocardial infarction as the medical term. ...Read more

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Can an EKG diagnose angina? What would it show that would make the doctor suspect angina?

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! ...Read more

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How do you get angina?

How do you get angina?

Narrowed arteries: If you have angina, one or more of your heart (coronary) arteries is narrowed. This causes a reduced blood supply to your heart muscle. When your heart works harder (when you walk fast or climb stairs and your heart rate increases) your heart muscle needs more blood and oxygen. If the extra blood that your heart needs cannot get past the narrowed coronary arteries, the heart responds with pain ...Read more

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Can teenagers develop angina?

Can teenagers develop angina?

Unlikely: Yes, it is possible but very rare and generally the result of a structural problem, like an abnormal origin of one of the coronary arteries or coronary artery changes after an earlier episode of kawasaki dz. Angina from cholesterol plaques is very rare in adolescence, except in homozygous familial hypercholesterolemia, where the cholesterol may be several times nl levels (e.g., 700 or 800 ng/dl). ...Read more

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