Top
25
Doctor insights on: Symptoms Of Microangiopathy

Share
1

1
What is coronary microvascular disease? What are the symptoms of coronary microvascular disease, and is it true that it is more prominent between women?

What is coronary microvascular disease? What are the symptoms of coronary microvascular disease, and is it true that it is more prominent between women?

Small vessels : In the heart there are larger epicardial vessels that we bypass and stent , and smaller vessel dz that are too small to mechanically intervene. They both can cause pain but small vessel dz is treated with medications and risk factor modification. And yes its more commonly diagnosedin women. ...Read more

See 1 more doctor answer
2

2
What are symptoms of coronary microvascular disease? Is it deadly and can it cause tachycardia?

What are symptoms of coronary microvascular disease? Is it deadly and can it cause tachycardia?

Microvascular diseas: Symptoms: chest pain, shortness of breath, lack of energy, sleep problems and fatigue. If you are suggering from these discomfts, it could increase your heart rate. Any physicial discomfort could raise your heart rate. It doesn't cuase acute death. But it has long term sequele of end organ damage. ...Read more

3

3
What does chronic microvascular disease mean?

What does chronic microvascular disease mean?

Microvascular diseas: It means the diffuse microvascularity at the distal end of the arterial tree is narrowed so that end vessel flow is impaired and unless a way can be found to open up the microvasculature chronic ischemia of the beds supplied will be present. ...Read more

4

4
I have chronic microvascular disease, what to do?

I have chronic microvascular disease, what to do?

Depends: On etiology. It is commonly due to diabetes, in that case good control of diabetes helps. Treatment is directed towards the underlying cause of micro-vascular disease. ...Read more

5

5
Hi doctors, can you tell me what is microvascular disease?

Hi doctors, can you tell me what is microvascular disease?

Microvascular disease: read this: http://www.heart.org/HEARTORG/Conditions/HeartAttack/SymptomsDiagnosisofHeartAttack/Coronary-Microvascular-Disease-MVD_UCM_450320_Article.jsp

Get a more detailed answer ›
6

6
What is cerebral microvascular disease?

What is cerebral microvascular disease?

Small brain vessels: The carotids and vertebrals and branches with names are macro.The small intra cerebral vessels are micro. If atherosclerosis deposits in small vessels that is micro vessel disease. ...Read more

7

7
What's coronary microvascular disease diagnosed with?

What's coronary microvascular disease diagnosed with?

Clinically: This is a clinical diagnosis when stress tests and angiograms reveal no significant obstructions but individuals still have anginal symptoms...In particular diabetics. ...Read more

8

8
How is coronary microvascular disease diagnosed and treated?

How is coronary microvascular disease diagnosed and treated?

Microvascular diseas: It is difficult to explain it this limited space. Refer to the following website for simplistic explanation: http://www.Heart.Org/heartorg/conditions/heartattack/symptomsdiagnosisofheartattack/coronary-microvascular-disease-mvd_ucm_450320_article.Jsp. ...Read more

9

9
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

10

10
Is there a connection between microvascular disease with copd?

Is there a connection between microvascular disease with copd?

COPD Vascular Diseas: Patient with advanced copd, if due to nicotine abuse, usually the case, will have micro vascular disease, all over. It is a systemic disease. Hence forth heart attack, stroke, legs pain, angina etc. Etc. COPD patient is high risk, for micro-angiopathy. ...Read more

11

11
Can you tell me anything about cmd (coronary microvascular disease?

Can you tell me anything about cmd (coronary microvascular disease?

Microvascular diseas: read this: http://www.heart.org/HEARTORG/Conditions/HeartAttack/SymptomsDiagnosisofHeartAttack/Coronary-Microvascular-Disease-MVD_UCM_450320_Article.jsp

Get a more detailed answer ›
12

12
Can u fly with coronary microvascular disease?

Can u fly with coronary microvascular disease?

How was it diagnosed: Who made the diagnosis and how? If a doctor made the diagnosis, s/he would be in the best position to provide the advice. In general asymptomatic heart disease is not a contraindication for flying on commercial airlines. ...Read more

See 1 more doctor answer
13

13
Hi doctors, was just wondering what is coronary microvascular disease?

Hi doctors, was just wondering what is coronary microvascular disease?

Small vessel: The big coronary vessels divide and subdivide to form micro vessels which supply the muscles of the heart. Diseases like diabetes can cause atherosclerosis of those tiny vessels where our catheters and wires don't go and we can't balloon or stent it. Usually if you have micro vascular disease we just treat with medications which can help in dilating them. ...Read more

15

15
Can your troponin be elevated to 5.0 with microvascular disease with chest pain. Also a normal cath.

Can your troponin be elevated to 5.0 with microvascular disease with chest pain. Also a normal cath.

Troponin leak: Vasospastic angina (coronary spasm) and coronary artery bridging (artery dives through heart muscle, thereby is compressed with each beat) may be associated with otherwise normal coronaries, especially in the presence of significant physical, emotional or chemical (drug abuse) stress. ...Read more

See 1 more doctor answer
16

16
Mild periventricular and subcortical abnormal T2 and FLAIR signal is nonspecific, but likely representative of chronic microvascular disease ?

Mild periventricular and subcortical abnormal T2 and FLAIR signal is
nonspecific, but likely representative of chronic microvascular disease ?

Need clarification.: Tiny white matter spots like these can be due to small vessel vascular insufficiency, as mentioned, as well as conditions like multiple sclerosis and Lyme disease. Or they can have no specific cause at all. But in a young person like yourself, a good examination and testing would be in order. ...Read more

17

17
What is the difference between coronary vasomotor dysfunction and coronary microvascular disease?

What is the difference between coronary vasomotor dysfunction and coronary microvascular disease?

Apples vs oranges: Coronary Vasomotor dysfxn has to do with autoreg of blood flow to the heart. This involves sympath / parasympathetic innervation of the heart from the brain stem. Coronary Microvascular dz specifically involves the meta-arterioles in the myocardium that regulate blood flow to a defined local area of the heart. Meta arterioles react to metabolic by-products opening or closing blood flow in that zo ...Read more

18

18
What is treatment for coronary microvascular disease? Will one have a shorter lifespan?

What is treatment for coronary microvascular disease? Will one have a shorter lifespan?

See below: The goal of therapy is to reduce myocardial oxygen consumption: reduce heart rate, contractility and wall stress. Betablockers, calcium channel blockers, nitrates and Ranolazine are all used. Aspirin and statins are used to prevent clotting and progression of disease. Anemia should be corrected if present. No smoking. Prognosis depends on on the extent of disease and overall health of the heart. ...Read more

19

19
I had an MRI done of my brain. I was told it showed that I have mild microvascular disease of the brain. What is that and should I be concerned?

I had an MRI done of my brain. I was told it showed that I have mild microvascular disease of the brain. What is that and should I be concerned?

A very common findin: This is a common finding on MRI of us senior folks. At this point, this is not a worrisome finding, of course, depending on why the MRI was performed in the first place. ...Read more

20

20
I fainted and woke up in ambulance. I was admitted to hospital. They thought I had a stroke. MRI showed mild chronic microvascular disease. I'm 48.

I fainted and woke up in ambulance. I was admitted to hospital. They thought I had a stroke. MRI showed mild chronic microvascular disease. I'm 48.

Explanations?: From your description, does NOT seem like you had a stroke, but your docs need to confirm causation. Did you really faint or instead have a cardiac arrhythmia, such as Stokes-Adams attack, or a seizure? A transient ischemic attack in the vertebral-basilar circulation can cause "drop attacks". Get a second opinion if necessary but aim to prevent future spells. ...Read more

21

21
I have microangiopathy of the brain, I am not over weight . I have no problem with my sugar. I am on meds. For high cholesterol. How do you stop this?

I have microangiopathy of the brain, I am not over weight . I have no problem with my sugar.  I am on meds. For high cholesterol. How do you stop this?

MRI results: At your age, not unique to visualize multiple white matter lesions when reading an mri. These are nonspecific, and do not indicate a stroke or ongoing "brain damage", but instead may represent a reflection of progressive "atherosclerosis", or "hardening of arteries". Your statin is partially protective for stroke, and an antiplatelet drug might be useful. Ask your doctor. ...Read more

22

22
Diagnosed with coronary microvascular disease. Can this kill me / cause heart attack? Is it dangerous? Drs around here dont know much about it.

Diagnosed with coronary microvascular disease. Can this kill me / cause heart attack? Is it dangerous? Drs around here dont know much about it.

Microvascular ds: Coronary microvascular disease describes poor oxygen supply to the heart despite normal arteries; the idea is that the tiny blood vessels don't allow normal flow. It is often discussed but is hard to diagnose. In my experience most people given this diagnosis do not actually have proof of it. Since you have had evaluation, it may be worth getting a 2nd opinion; consider a HealthTap inbox consult. ...Read more

23

23
At different times over the past 2 years on both my brain and heart MRI there has been noted "chronic microvascular disease" changes. What is this?

At different times over the past 2 years on both my brain and heart MRI there has been noted "chronic microvascular disease" changes. What is this?

Tiny artery disease: Micro vascular disease is inside matrix changes with decrease blood flow in tiny arteries effecting brain, heart and kidneys. Also known arteriosclerosis and different from large blood vessel disease[atherosclerosis]with no plaques. Causes are blood pressure, diabetes, cholesterol, uric acid, arthritis, poly cystic ovary. Effects;mini stroke, angina, heart attack and kidney failure. Treat the disease. ...Read more

24

24
19/M recently serum creat upto 3 mg/dl.Asymptomatic.Renal biopsy suggests Thrombotic Microangiopathy.Takes Prednisolone,Amlodipine+Atenolon,Telmisarta?

19/M recently serum creat upto 3 mg/dl.Asymptomatic.Renal biopsy suggests Thrombotic Microangiopathy.Takes Prednisolone,Amlodipine+Atenolon,Telmisarta?

Continue: That is a good combination of medication for that diagnosis. Make sure to followup with your doctor regularly to make sure the medicines are working right. ...Read more

25

25
When you have scotoma develop in one eye only and the patient has a pituitary adenoma, takes plaquenil, (hydroxychloroquine) and has ischemic microvascular disease, can you tell which one most likely caused the scotoma?

When you have scotoma develop in one eye only and the patient has a pituitary adenoma, takes plaquenil, (hydroxychloroquine) and has ischemic microvascular disease, can you tell which one most likely caused the scotoma?

Depends on VF defect: Plaquinil and ischmic optic nerve disease may produce similar visual field defects, however, examination should be able to differentiate the two. Pituitary field defects are quite different. A differentiation should be able to be ascertained. ...Read more

See 2 more doctor answers