Coronary Microvascular Disease: A Case Study

Abstract

Coronary microvascular disease is a disease of the small blood vessels in the circulation and damage to the lining of the walls of the heart lead to narrowing and decrease blood flow to the heart muscles. Most common cause is long term diabetes mellitus. A majority of people around 60%-75% with coronary microvascular disease are affected among women. I am presenting a case study report of a 40 years old female, admitted in the hospital at IGMC, Shimla, Himachal Pradesh with the complaint of pain, pulselessness in right arm, cold extremities and blackening of fingers and gradually started numbness in left fingers also since 2 weeks. A detailed assessment and investigations concluded the diagnosis as Coronary Microvascular Disease. Other diagnosis can be performed like ECG, cardiac angiography, cardiac stress test, cardiac catheterization, coronary flow reserve(CFR). She was treated with blood thinners, statins, alpha and beta blockers.