Doctor insights on:
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
We all know chest burn/discomfort/sob can be from GI or other causes.How can you diagnose angina clinically.Would angina symptoms only during exertion?
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
- Talk to a doctor live online for free
- How serious is having microvascular angina?
- How do you diagnose pancreatitis?
- How do you diagnose endometriosis?
- Ask a doctor a question free online
- How do you diagnose ibs?
- How do you diagnose a thymoma?
- How do you diagnose a concussion?
- How do you diagnose asthma in children?
- Talk to a urgent care specialist online for free