Doctor insights on:
Symptoms Of Microangiopathy
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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
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
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
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 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
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
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
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
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
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 moreSee 2 more doctor answers
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