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cardiac microvascular disease

How is cardiac microvascular disease diagnosed since typical tests only show blockages to the major arteries?

This discussion is related to Pacemaker Findings.
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Usually a biopsy.
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What kind of biopsy?  What about an angiogram?  Would that be a regular angiogram or would the dr. have to go in the small artery or vessel and how would they know what vessel or artery to go in thru since it's a small artery or vessels.  Can you see spasms in the small artery or vessel thru a regular angiogram without going in the small vessel or artery>
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976897 tn?1379167602
An Angiogram definitely doesn't see arteries like arterioles, they are the thickness of a hair. I believe it takes a special type of MRI to look at these vessels.
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