Top
20
Doctor insights on: How Do You Diagnose Microvascular Angina

Share
1

1
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

See 1 more doctor answer
Dr. Gutti Rao
1,678 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


2

2
How do you diagnose coronary artery disease?

How do you diagnose coronary artery disease?

After Ds is Advanced: Though dominant human behavior, physicians are trained to wait for evidence of advanced disease, largely in this order of ?ing ability to detect disease: 1. Calcification in the artery walls, 2. Obstructions visible on coronary angiograms or ct, 3. Symptoms & evidence of heart damage; typically the last detected/recognized 4. Stress tests. | for a better alternative: optimize the driving factors. ...Read more

See 1 more doctor answer
3

3
How do you diagnose myocardial infarction?

How do you diagnose myocardial infarction?

Multiple methods: Myocardial infarction (mi) is suspected by symptoms usually including chest pain. The conclusive diagnosis is established based on a combination of specific abnormalities of the electrocardiogram (ekg) and presence of certain heart enzymes that leak into the blood during an mi. The most common enzymes are called ck-mb and troponin. ...Read more

See 1 more doctor answer
4

4
How do you know when you have coronary microvascular disease?

How do you know when you have coronary microvascular disease?

Cvd: Micro vascular disease is a clinical diagnosis base d on a spectrum of findings and symptoms. Unless we have biopsy proof it is hard to prove. ...Read more

5

5
How do you typically diagnose renal artery occlusion?

How do you typically diagnose renal artery occlusion?

See below: The gold standard for detecting renal artery occlusion is a renal angiogram, which is injecting a iodinated dye into the blood vessel and taking images. The dye itself can cause some reversible renal injury, and should be used weighing the risk and benefit. Other rare but serious complication is cholesterol embolii syndrome. Other tests eg ultrasound and MRI may not be conclusive. ...Read more

See 1 more doctor answer
6

6
How do I know whether I have angina or coronary artery disease?

How do I know whether I have angina or coronary artery disease?

Symptom vs disease: Angina, or chest pain or angina equivalents (there are many) are a symptom usually of heart disease. Coronary artery disease, cad, is a progressive disease: plaque builds up in the arteries of the heart and this can lead to blockage(s), ischemia (insufficient blood flow) which can cause pain or angina. ...Read more

See 1 more doctor answer
7

7
How do doctors diagnose coronary artery disease?

How do doctors diagnose coronary artery disease?

Several ways: It is suspected by the symptoms typically pain in the chest on exertion. An EKG can be done at rest or better still during exercise. Sometimes in addition some slightly radioactive material is injected and "pictures" are taken before and after the exercise. Dye can be injected directly into the coronary arteries to see if ane where they are blocked. Ct scans and mri's can also be used. ...Read more

See 1 more doctor answer
8

8
How do you usually diagnose renal artery stenosis?

How do you usually diagnose renal artery stenosis?

Renal arter stenosis: The diagnosis is made with ultrasound dopplers to check blood flow rates that reveal waves created by the blockage, or arteriograms.Ultrasound has no risk, but is very operator dependent and can be misleading in both over and under diagnosis.Arteriograms are more accurate, but only show an anatomic blockage, and don't help with functional testing. Finding blocks doesn't mean they need treatment. ...Read more

See 2 more doctor answers
9

9
How do you diagnose Parkinson's disease?

How do you diagnose Parkinson's disease?

Good History & Exam!: Physical symptoms can include tremor of limbs at rest>in posture or in action; slow movements & stiff (rigid) muscles causing quiet facial emotions, softer voice, bent forward head & neck posture, decreased arm swing, slow-shuffled walk, small/scratchy penmanship, etc. Non-physical symptoms can include cognitive decline, depression, anxiety, sleepiness, constipation, ed, low bp, acting-out dreams. ...Read more

See 1 more doctor answer
10

10
How do you diagnose constrictive pericarditis?

How do you diagnose constrictive pericarditis?

Echo or Cath: History, swelling and venous congestion of head, neck liver, etc. Study by echo may suggest cardiac cath and pressure measurements confirm. ...Read more

See 1 more doctor answer
11

11
How to know if I have coronary artery disease?

How to know if I have coronary artery disease?

Cath lab , CT, scans: CT scan can do a calcium count, which is related to disease. Cath lab can create dye studies of the arteries, which show blockage. A myocardial perfusion scan can show abnormal areas of blood flow on the heart, which is related to blocked arteries. 256 bit CT scans are getting very good at showing artery disease also. ...Read more

12

12
How do you treat ?Pulmonary hypertension?

How do you treat ?Pulmonary hypertension?

Depends on the cause: Pulmonary hypertension can be caused by a large variety of illnesses - chief amongst them heart failure and chronic respiratory disease. These are best treated by treating the underlying illness - sometime if ph is caused in isolation or from more exotic entities like scleroderma or pulmonary embolism the correct treatment is surgery or medications directed at relaxing the pulmonary vasculature. ...Read more

See 1 more doctor answer
13

13
How do you diagnose a pulmonary embolism?

How do you diagnose a  pulmonary embolism?

CT scan: The gold standard for diagnosing a pulmonary embolism is a ct scan of the chest with IV contrast. D-dimer (a blood test) may be used a s a screening tool, if that is negative, your chances of having a thromboembolic event are really low. For people intolerant of IV contrast, or with renal insufficiency, a v/q scan (ventilation-perfusion scan) may be used. ...Read more

See 1 more doctor answer
14

14
How do you diagnose peyronie's disease?

How do you diagnose peyronie's disease?

Here...: A good hx suggests its presence, and careful manual palpation on flaccid penis reveals its site; size of the offending plaque. And its DX arrives. ...Read more

See 1 more doctor answer
15

15
How do you tell what plaque type you have without an angiogram?

How do you tell what plaque type you have without an angiogram?

Need more info: I am not sure about your question. Plaques are usually formed by abnormal accumulation of different versions of cholesterol that are affected by many factors like diabetes, hypertension, smoking, genetics, meds, etc. They cause trouble more based on location and age of the plaque (older can be more stable), as well as these other factors, than by a certain type. ...Read more

See 1 more doctor answer
16

16
Can you tell me how atherectomy deal with severe peripheral arterial disease?

Can you tell me how atherectomy deal with severe peripheral arterial disease?

Removing plaque: Atherectomy is the removal of plaque build up in the lining of an artery. The plaque causes a narrowing of the arterial lumen decreasing blood flow. By removing the plaque, there is increased flow in that artery. It can be done by a variety of techniques: using a laser, or devices that act like a plane to shave the plaque and others that are like a drill or file. ...Read more

See 1 more doctor answer
17

17
How do you diagnose a mini stroke?

How do you  diagnose a mini stroke?

Symptoms: By pt's symptoms , neurological changes, and their clearing in a reasonable period of time as well as the lack of pathogneumonic changes on mri. ...Read more

18

18
How do you diagnose spinal stenosis?

How do you diagnose spinal stenosis?

Evaluation : First, a clinical exam with a history taken to see if symptoms are consistent with spinal stenosis then most likely a MRI or ct would be indicated next to confirm diagnosis. ...Read more

See 1 more doctor answer
19

19
How can you diagnose heart disease?

How can you diagnose heart disease?

H&P, tests: Through nuclear stress test, stress echocardiogram, echocardiogram, pet scan, ct scan, and ekgs. These tests are only used after a thorough history and physical that provides the indications for the appropriate test(s). ...Read more

See 1 more doctor answer
20

20
How do you diagnose gastrinoma?

How do you diagnose gastrinoma?

Tough question.: Pt's with frequent, severe or refractory ulcers are all suspects. First tests are done to prove that the high gastrin levels are due to gastrinoma, like the secretin stimulation test. Next the tumor is localized with spect scanning and other imaging tests. ...Read more

See 1 more doctor answer