Doctor insights on:
What Are Markers For Microvascular Angina In Hypertensive Patients
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
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
Change: First get a stress test to determine how much light exercise you can do then start a light regimen, take all necessary meds for blood pressure or....Don't smoke, light to moderate alcohol only, eat healthy (fresh veg, no fried foods, more fish and grains), loose weight correctly through exercise not diets. ...Read more
Subtle in women: Angina is a dull chest discomfort or pressure usually in center or across chest, often radiating to left arm, neck or throat. Gets worse with physical activity or emotion, sometimes at night. It can be subtle or atypical especially in women who tend to ignore their heart symptoms until they get very sick. Usually it's from a blockage in a coronary artery though there are other causes too. ...Read more
How can unstable angina be detected and/or diagnosed, particularly if the patient is not experiencing the event at the time of appointment or has not experienced it in the past month or so?
Clinical diagnosis: Unstable angina is defined as new or worsening chest pain at rest or with exertion/emotional stress. There is no test to detect unstable angina. If a blockage in the heart is more than 50% then a stress test may detect it. But if less it will not. Unstable angina can occur with any size blockage. 10% or 99% and all in between. majority of heart attacks occur with a blockage less than 50% ...Read moreSee 1 more doctor answer
What is the risk associated with patient diagnosed of unstable angina involve in regular exercise?
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
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