microvascular Ischemia

[Princessmummy]

Hi I’m new on here and just wanted to know if you can show microvascular ischemia on a Mibi scan but it then be clear after angioplasty ?

can you still have it or would this have shown on the angioplasty?

Thankyou

[PadThaiNoodles]

It won't show on an angiogram.

bhf.org.uk/informationsuppo....

[Princessmummy in reply to PadThaiNoodles]

sorry to ask but is microvascular angina the same as ischemia ?? It’s all new to me as Ive got all this since catching covid 19mths ago

Thankyou

[PadThaiNoodles in reply to Princessmummy]

In this case, essentially yes. Ischaemia is a lack of blood/oxygen to some tissue; in this case the heart. Angina is the pain caused by ischaemia of the heart muscle.

[Princessmummy in reply to PadThaiNoodles]

Thankyou that’s really helpful ……. I’ve never struggle with heart problems before so it’s all new to me

I appreciate very much your response

[Milkfairy Heart Star in reply to PadThaiNoodles]

Do you have a lived experience of microvascular or vasospastic angina?

[Milkfairy Heart Star in reply to Princessmummy]

You can gave angina/ ischaemia non obstructive coronary arteries ANOCA, INOCA which is caused by either microvascular dysfunction or coronary vasospasms.

ANOCA conditions are due to the blood vessels of the heart not working properly reducing the bloid supply to the heart, myocardial ischaemia.

I have transient constrictions of my coronary arteries and small vessels, vasospastic angina.

With microvascular angina, the small blood vessels of the heart are unable to dilate or stay dilated in response to extra demands like exercise.

A routine angiogram just detects pernament blockages, obstructions rather than ANOCA/ INOCA.

If your Mibi scan shows you have myocardial ischaemia and your angiogram shows no obstructions, I suggest you ask your Cardiology team to carry out further testing to see if microvascular angina or vasospastic angina are causing your symptoms.

[Princessmummy in reply to Milkfairy]

Thankyou for your response , it’s only been something I have been left with after having covid …..I got myocarditis after the covid In February 2023 , i am under Royal Papworth Hospital and am seeing them in a weeks time again, so will speak with them …… it’s all very new to me but I am now unable to do so much of what I did before ……. Even walking up the stairs causes me pain , the cold weather I’ve noticed is a huge trigger as is exercise….. I’m extremely frustrated…… they also think I have POTS so am having tests for that separately.

[Milkfairy Heart Star in reply to Princessmummy]

I am sorry to hear you have ongoing issues because of covid. Covid is a nasty virus.

Coming to terms with heart disease especially less common or poorly understood conditions can be bewildering at first.

The Royal Papworth is a cetntre of excellence and has several Cardiologists who are knowledgeable about microvascular and vasospastic angina.

I suggest you keep a diary of your symptoms including what triggers your symptoms.

It can help to write down all your questions too, it helps to keep on track during your consultation.

My triggers for my vasospastic angina are the cold, emotional, mental and physical stress.

I am really struggling with this cold weather at the moment 😩

I had myocarditis many years ago. My advice is to rest, rest again and then rest some more. It can take months to recover.

It was difficult for me to distinguish between the pain from my coronary vasospasms or myocarditis.

Cardiomyopathy UK has some information about myocarditis which maybe helpful.

cardiomyopathy.org/about-ca...

There is also a patient support group for POTS.

potsuk.org/

This patient group is listed in the BHF 'Understanding Angina ' booklet.

internationalheartspasmsall...

[Crystal614]

Hi, I had a MIBI scan done earlier this year and I asked if microvascular disease would show on the scan. The answer I got was and I quote, "only if it is a concentrated area, if it is scattered around the heart, then no it won't" I also have a letter from my previous cardiologist who again said a "MIBI scan can not fully rule out microvascular disease."

[Princessmummy]

thankyou …… I’ve just got a letter saying it was seen on the scan …..

[Crystal614]

The angiogram won't show the microvessels.

[Princessmummy]

thankyou