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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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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