Mva & Vasospastic angina - cardiologist questions

[Divasong]

Had a call 2 days ago from cardiologist saying he thinks I have microvascular dysfunctionVasospastic angina. I asked him were they different conditions & he said they were the same thing but different names...? He was very rushed and I didn't think to ask him so many things. He's putting me on ranexa for a few weeks to see if that helps alleviate the pain. What questions should I ask him when I talk to him again? I'll definitely ask can I exercise as I need to lose weight altho that seems impossible atm with the chest pressure I get both at rest and moving around.

Do cardiologists usually pass you back to your gp with this condition?

Thanks!

[Milkfairy Heart Star]

Hi Divasong

Microvascular angina MVA effects the small vessels - microvascular dysfunction

Vasospastic angina VSA the large coronary blood vessels -coronary artery spasms

They are two separate conditions however they are both causes of Ischaemia non obstructive coronary arteries INOCA.

Most people live with just MVA, about 20 % just Vasospastic angina and 20% with both ( I have both MVA and VSA)

The treatment for the conditions is different so it is important to be given the correct diagnosis.

Sadly there is a lack of knowledge and understanding about the conditions which is reflected in the Cardiologists response to your question.

The BHF has this information about MVA and VSA

bhf.org.uk/informationsuppo...

bhf.org.uk/informationsuppo...

You need to be seen by a Cardiologist as MVA and VSA are complex conditions. Ask you GP to refer to a Cardiologist who has some expertise in caring for patients in MVA and VSA.