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long covid shortness of breath, more in depth testing
Post-COVID Recovery & COVID-19 | Last Active: Jun 10 7:17pm | Replies (14)Comment receiving replies
Can you describe test to diagnose your heart microvascular dysfunction? (My echo was normal as was 3-day heart monitor). The inhaler prescribed (Symbicort) does nothing; in fact it makes my symptoms worse. Curious if I should further explore with cardiology- or Mayo if necessary. Also, is there a drug treatment or simply lifestyle changes for you?
Replies to "Can you describe test to diagnose your heart microvascular dysfunction? (My echo was normal as was..."
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The test to diagnose microvascular dysfunction is called a provocative angiogram. Essentially the specialists give you a medication that will cause symptoms if you have microvascular dysfunction and won't if you don't. They can also test your coronary blood flow to see whether it is being restricted.
If your cardiologist isn't comfortable doing a provocative angiogram, they may tell you it's a dangerous test - and it would be if they tried to do it with limited experience. At a clinic like Mayo (or other big cardiac clinics), they do these regularly, and it's no more risky than a regular angiogram (heart cath). Worth doing, because an accurate diagnosis means the right treatment.
No other test will necessarily show anything . . .