I have aps and wonder if anyone links microvascular disease to APS. I had bilateral pulmonary emboli years ago, also Tia's although it was never documented by ER dr. Since then I have had numerous times of chest pain/ and times of stabbing shoulder pain. Since hospital only does ct scan of lungs when ever I have gone, it is clear that there isn't a pe. I get pain meds and go home. So we all know clots happen elsewhere (drs don't seem to acknowledge any source of possible problem) Of course I don't have any good insur- medicare, and state. Has anyone else come across this?I'm not sure if micro clots can be detected. Any thoughts? I know when my inr is too low as I get terrible headaches. (I have worked in med field 10 years - on disability do to back inj. I have a medical background and I am appalled by lack of information from docs/ and rns regarding APS.