Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Interventional Cardiology (Expert Forum)
Diagnostic Tests
Questions in the Interventional Cardiology forum are answered by medical professionals affiliated with the Truman Medical Center. Topics covered include acute coronary syndrome, angina , atrial fibrillation , cardiac catheterization , cardiomyopathy , drug abuse & cardiac disease, echocardiography , heart failure , hypertension & heart disease , lipid management , minorities and heart disease, peripheral vascular disease prevention, valvular heart disease , women’s heart health, and the warning signs of a heart attack.
Diagnostic Tests
by rosequartz, Sep 27, 2008 01:32PM
I have had a echo cardiogram stress test which came back normal.My ECGs and stress test have been normal.Is it possible that I have microvascular angina or coronary spasm that just didnt happen or show up at the ime of test?My symptoms are very extreme and have been going on for a long time.I get very bad chest ,pain, preassure, ache everyday.I have difficulty walking around and get very tired and take days to recover.I am an ex-smoker,ex-drug addict. Because so many other things have been ruled out I wonder if it is microvascular or spasms.Can a heart MRI with stress diagnose these things? I am at the end of my rope. Thankyou
Member Comments (1)
by Douglas Bogart, MD, Sep 28, 2008 07:30AM
, Sep 28, 2008 07:30AMTo: rosequartz
Microvascular angina is frequently a diagnosis of exclusion and sometimes the best option is to empirically put the patient on the meds for this--beta blockers and long acting nitro-- and assess the response. I don't know of any specific test for microvascular angina. Coronary spasm can be diagnosed by the ECG at the time of chest pain and if it is due to spasm in a major artery the ECG will show ST-segment elevation.
