Posted 4/13/2010 10:56 AM (GMT -7)
Having been the rather unwilling participant in four procedures, you might think it odd that I believe angiograms to be necessary.
In the end, however, it was a specific type of angiogram that ultimately confirmed my diagnosis of Coronary Microvascular Disease. I was given a Coronary Reactivity Test which is an angiography procedure specifically designed to examine the blood vessels in the heart and how they respond to different medications.
Recently, both the Wall Street Journal and NPR posted some very convincing arguments as to why the traditional angiogram is no longer the ‘gold standard’ in heart testing. And quite frankly, from my experience, I would have to agree.
I had my first angiogram in 2005. Having been rushed to the ER with chest pains, I was given the full range of testing. However, when my angiogram came back ‘clear’, I was sent home rather unceremoniously; almost made to feel bad that I put them through the trouble.
My second and third angiograms happened under much the same circumstances. Continued chest pain, trips to the ER and confounded doctors who could offer no explanation of continued chest pain without clogged arteries.
However, my fourth angiogram was the one that made the difference. This specialized take on the traditional angiogram proved to be the breakthrough needed to finally diagnose my condition.
How It Affects You
While risk factors for men and women are the same, women tend to have more coronary microvascular disease. This dysfunction of the small arteries lies in the heart muscle itself and cannot be seen on a traditional angiogram.
Perhaps the problem is not in how often angiograms are ordered, but in the way in which they are administered.
For many women, the road to diagnosis is a long one. It would be a wonderful thing to leave the cardiologist’s office with a correct diagnosis on your first visit. Since that’s not going to happen, we must prepare ourselves for the gamut of testing bound to be in our future.
What better way to prepare yourself than to know what your testing options are?
For more information regarding Cedar-Sinai Women’s Heart Center and Coronary Reactivity Testing, please see my blog at http://rebeccasheart.wordpress.com/.