Although prognosis is good regarding survival, patients with cardiac syndrome X have an impaired quality of life. Management of this syndrome represents a major challenge to the treating physician. Understanding the mechanism underlying the condition is of vital importance for patient management.
Angina doesn't cause any lasting harm to the heart muscle. The danger of leaving the condition untreated, however, is the increased risk of heart attack. If your symptoms don't go away within 10 minutes of rest and using your nitrate medicine, you may be having a heart attack.
More importantly, the WISE study concluded that even without evidence of major heart artery obstructions, microvascular angina is worrisome. Patients with angina but without obstructed arteries still have increased rates of heart attacks, strokes, heart failure and death compared to women without angina.Dec 30, 2016
Treatment of Coronary Microvascular Disease
- Cholesterol medication to improve cholesterol levels.
- Blood pressure medications to lower high blood pressure and decrease the heart's workload.
- Antiplatelet medication to help prevent blood clots.
If you have small vessel disease, you may experience symptoms including:
- shortness of breath.
- pain in your mandible, neck, left shoulder, and arm, back, or abdomen.
- anginal chest pain and pressure, typically lasting longer than 10 minutes.
Your doctor may perform an electrocardiogram (ECG), a stress test without imaging or blood tests to help diagnose your condition. Additionally, chest x-ray, chest CT, coronary CT angiography, cardiac MRI, coronary angiography, echocardiogram or stress test with imaging may be performed.
Metabolic syndrome: Foods to avoid
- Refined carbs such as white flour, sugary snacks and sugar-sweetened beverages, which are low in fiber and nutrients.
- Saturated fats found in foods like red meat, whole-milk dairy products and many baked goods.
Microvascular heart disease affects about four times as many women as men and “is serious, actually,” said Dr. Stacey Rosen, a cardiologist and spokeswoman for the American Heart Association's Go Red For Women campaign, since it can lead to heart attacks, heart failure and death.Sep 29, 2017
Metabolic syndrome is closely linked to overweight or obesity and inactivity. It's also linked to a condition called insulin resistance. Normally, your digestive system breaks down the foods you eat into sugar. Insulin is a hormone made by your pancreas that helps sugar enter your cells to be used as fuel.May 6, 2021
D. The medical community once believed that microvascular angina — chest pain caused by the tiny arteries in the heart — occurs predominantly in females and is harmless. However, a new study suggests that the condition increases the risk of heart attacks, stroke, and death.Jun 1, 2021