Diagnosis of Microvascular Angina

Clinical Assessment

Non Invasive Tests

Invasive Tests

Symptoms

Common Triggers

93%

81%

Chest Pain

Shortness of Breath

Fatigue

88%

80%

Emotional Stress

Exercise

73%

Cold Environment

49%

ECG

Stress ECG

Cardiac CT

SPECT

Stress MRI

Invasive Angiography with Physiology & VasoReactivity tests

Bolus Thermodilution (CFR & IMR)

Continuous Thermodilution (CFR & MMR)

Acetylcholine Vasoreactivity Test

Diagnosis after 1 year

Diagnosis after 3 years

6 go through > 4 consultations before diagnosis

5 consult > 3 Cardiologists before diagnosis

5 are referred to Gastro Review

Out of 10 Patients with Microvascular Angina

3 are referred to a Psychiatrist

6 had presented to ED at least once

Diagnosis of Microvascular Angina

The Right Expertise Matters

6 are told symptoms not cardiac

7 are discharged with no diagnosis and no treatment

Oxford Microvascular Angina Service

Comprehensive, Streamlined and Prompt Access to Expert Consultation and Full Breath of both Non-Invasive & Invasive Investigations

Expert Consultation

Advanced & Guidelines-Indicated State-of-the Art Invasive Diagnostics

Definitve & Accurate Diagnosis

Non-Invasive Diagnostics