How to Best Treat Microvascular Angina

Greetings:

Let me thank you sincerely for your forum; I have learned so much from it.

I may have microvascular angina. What is the best way to treat it
using medicine, diet, exercise,meditation, and so forth?

I have had nine attacks of angina these past four months. These attacks have ranged from moderate to severe.I was hospitalized twice and I have
been seen by two cardiologists. One cardiologist said I had mitral valve
prolapse, which could not be verified with an echo cardiogram, and the second doctor claimed that my heart was not the source of the problem.

I have had two heart thallium tests, two angiograms, two echo cardiograms, and one stress test in the past four months.

The first heart thallium test was normal, whereas the second one showed that two areas of my heart were not receiving enough blood.

The first angiogram either showed a 35% blockage in two of my coronary arteries or that my arteries went into spasm during the test.The second angiogram showed no blockages.

The echo cardiograms showed that the posterior walls of my heart did thicken to the same degree as the anterior portions when both were oxygenated with blood.

My stress test showed an abnormality (I believe in the ST segment) after I was on the treadmill for 30 seconds.

A small amount of Troponin was found in my blood the last time I was  hospitalized.

I am 48, and do not drink, smoke, or use street drugs. I am not over weight and have been physically active all my adult life.

Thanks in advance for your help.

Best regards,

Greg

[CCF CARDIO MD JMF]

Dear Greg,
You may want to be evaluated for some experimental programs that promote angiogenesis using a medication called VEGF to gro new vessels in teritories
You may be a candidate for some of these procedures.  The contact person at our insitution is Marcia Lwry.  she can be reached through our operators.
Unfortunately we do not have standard therapies to address microvascular disease.  I would recommend a full evaluation to make sure that you are not insulin resistant and control this hyperinsulinemia if it occurs in your case.

[Gregory Gomez]

GreeGreetings:

Greetings:

I have a correction to my post about microvascular angina in regards to my echo cardiograms.

The echo cardiograms showed that the posterior walls of my heart did not thicken to the same degree as the anterior portions when both were oxygenated with blood.

Also, my stomach and esophagus were examined by endoscopy and were found to me normal.

Thanks,

Greg

[CCF CARDIO MD JMF]

Dear Greg,
You may have ischemia in the circumflex distribution of your heart.  It appears that your cath was normal.  Further testing may be required to delineate this issue of spasm with a more invasive procedure with catheters monitoring your heart during a test to provoke spasm.