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Doctor insights on: What Are Markers For Microvascular Angina In Hypertensive Patients

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What are markers for microvascular angina in hypertensive patients?

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 more

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Dr. Gutti Rao
1,646 doctors shared insights

Angina (Definition)

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


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Can you describe microvascular angina?

Can you describe microvascular angina?

Unseen vessel: Hello paris -- microvascular angina is more common in women -- these are chest pain caused by smaller blood vessels within the heart muscle -- and usually undetectable by the naked eyes. ...Read more

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How serious is having microvascular angina?

How serious is having microvascular angina?

Serious: This is small vessel disease. It is usually best treated with Ranexa (ranolazine) - but since each patient is different, and may have other comorbidities, a comprehensive evaluation by a cardiologist is essential. ...Read more

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I'm having chest pains. Could it be microvascular angina?

I'm having chest pains. Could it be microvascular angina?

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 more

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For patients with angina cases, will limiting daily food intake help their situation?

For patients with angina cases, will limiting daily  food intake help their situation?

Food intake: If the patient is overweight or has a poor lipid spectrum, then diet can be quite helpful. For diet to help more than just caloric restriction is important, the content of the diet especially trying to be plant based it likely to be more useful. Appropriate medicines and exercise and not smoking are also very important. ...Read more

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What is the risk associated with patient diagnosed of unstable angina involve in regular exercise?

What is the risk associated with patient diagnosed of unstable angina involve in regular exercise?

Unstable angina: Is by definition unstable ; intervention not exercise is recommended...Are you sure you mean unstable ? ...Read more

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How do you diagnose microvascular angina?

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 more

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How can a patient present angina pectoris?

How can  a patient present angina pectoris?

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

Marker (Definition)

A "marker" is a protein or enzyme that can represent a disease process. Some markers are specific for a particular disease, while ...Read more