Coronary Small Vessel Disease in Women

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Coronary Small Vessel Disease (CSVD)—also known as microvascular angina or microvascular coronary disease—is a form of heart disease that affects the tiny arteries supplying blood to the heart muscle. Unlike traditional coronary artery disease, which involves blockages in the large coronary arteries, CSVD occurs when small coronary vessels (less than 500 micrometers) malfunction or constrict. This can result in reduced blood flow, leading to symptoms such as chest pain (angina), shortness of breath, and fatigue, often without any visible arterial blockages on standard tests.

Alarmingly, women are disproportionately affected by this condition, yet it remains underdiagnosed and frequently misunderstood.
In this video, we cover:

• What is Coronary Small Vessel Disease (CSVD)?
• How it differs from traditional coronary artery disease
• Why CSVD is often missed in women and misattributed to anxiety
• The role of endothelial dysfunction, inflammation, and oxidative stress
• Risk factors: high blood pressure, diabetes, high cholesterol, smoking
• How CSVD is diagnosed and managed
• Emerging treatments and lifestyle recommendations

CSVD may not show up on typical heart scans, but it can be just as serious, increasing the risk of heart failure, arrhythmias, and long-term cardiovascular damage if left untreated.

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Categoria
Cardiology
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