Episode 3 – The Mystery of Microvascular Angina
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Episode 3 – The Mystery of Microvascular Angina
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What if your angiogram looks “normal”… but your chest pain is still very real?
In this episode of Cardio Conversations with Jen and Ankit, we explore the under-recognized world of microvascular angina - a condition where the smallest vessels of the heart misbehave, even when large arteries look clear. It’s sometimes called “cardiac syndrome X,” and it disproportionately affects women.
Dr. Ankitkumar Patel, interventional cardiologist, and Jennifer Abitabilo, advanced practice nurse, share how microvascular disease is diagnosed, why it’s often overlooked, and what it means for both patients and clinicians. From physiology tests to lifestyle impacts, this conversation shines a light on the hidden side of ischemic heart disease.
🔑 In this episode you’ll learn:
Why microvascular angina often gets missed.
The role of stress tests, coronary flow reserve, and invasive physiology in diagnosis.
Why women are at higher risk — and why their symptoms are too often dismissed.
How treatment combines medication, lifestyle, and innovative therapies.
Two practical ways to advocate for yourself if chest pain persists despite a “normal” cath.