Tag Archives: endothelium

Is coronary microvascular disease serious? Is the Pope Catholic?

22 Oct

by Carolyn Thomas    @HeartSisters

It’s time for physicians to stop telling patients that a diagnosis of coronary microvascular disease (MVD) is no big deal. Or alternatively, to accept that the diagnosis is real in the first place. As one of my blog readers learned to her horror, this awareness is not yet universal. When she asked her own physician, for example, if her debilitating cardiac symptoms might be due to coronary microvascular disease, he replied: “I don’t believe in microvascular disease!” – as if they’d been discussing the damned Tooth Fairy.

But here’s how Dr. Stacey Rosen, a cardiologist and spokeswoman for the American Heart Association’s Go Red For Women campaign, answered a question about microvascular disease in the New York Times recently:

Q: “I have been diagnosed with microvascular heart disease, which I was told mostly affects women and is not considered serious in and of itself. How long can it exist before it turns into serious heart disease?”

A:  “MVD can lead to heart attacks, heart failure and death. It’s serious.” Continue reading

Why your heart needs work – not rest! – after a heart attack

14 Jun

by Carolyn Thomas  @HeartSisters

After surviving a heart attack, I couldn’t wait to start my 4-month cardiac rehabilitation program so I would just start feeling “normal” again. But when I showed up for my first assessment, I was disappointed by the cardiac nurse’s recommendation that, because of ongoing issues, I should wait two months until I felt much stronger before starting. A Canadian study from the University of Alberta now suggests, however, that earlier might just be better for many.

For best results in most clinically stable patients after a heart attack, these new findings suggest that early exercise as well as prolonged exercise may well be the key to the best post-heart attack outcomes.  Continue reading