Microvascular Disease Specialist

Vein & Cardiovascular Center

Ashish Pal, MD, FACC

Cardiologist & Vein Specialist located in Orlando, FL & Sebring, FL

About 7 million Americans seek emergency care for chest pain every year. By getting an evaluation and a diagnosis before your chest pain becomes severe, you don’t have to end up in an emergency room fearing for your life. At Vein & Cardiovascular Center: Ashish Pal, MD, in Orlando, Sebring, and Davenport, Florida, Dr. Pal offers comprehensive chest pain diagnosis and treatment in a comfortable outpatient setting. Call the office or book an appointment online today.

Microvascular Disease Q & A

What is Coronary Microvascular Disease?  

MVD, also known as small vessel disease or microangiopathy, is a type of coronary heart disease that affects the very small arteries, the arterioles, and capillaries. The walls of the heart’s smallest arteries are damaged and/or diseased.

What is Microvascular Angina?

In up to 30% of patients with chest pain, there’s no artery obstruction. Many of these patients have a problem within the smallest coronary artery blood vessels, which is called microvascular angina. When the walls of these tiny blood vessels contract (spasm), the result can be chest pain. 

Syndrome X

One example of microvascular-triggered angina is cardiac syndrome X. This syndrome develops when you have microvascular artery dysfunction, which causes chest discomfort and pain, especially in postmenopausal women. 

In other situations, chest pain isn’t actually related to the heart but to a problem with your lungs (pulmonary conditions) or metabolic muscle disorders. At Vein & Cardiovascular Center: Ashish Pal, MD, Dr. Pal expertly diagnoses your chest pain using the most advanced technology.

How do you diagnose chest pain?

Dr. Pal uses cardiopulmonary exercise testing (CPET), a stationary bicycle stress test, to determine the cause of your chest pain. This test is superior to traditional exercise stress tests because it evaluates your heart, lungs, and muscles simultaneously. 

With a CPET, Dr. Pal can diagnose all causes of chest pain, including those that a standard stress test can't identify such as heart failure, microvascular blockages, pulmonary circulation disorders, pulmonary ventilation disorders, deconditioning, and metabolic muscle disorders. 

The CPET allows you to get a chest pain diagnosis at the earliest possible time. How soon you receive a diagnosis can mean the difference between using noninvasive or minimally invasive treatments now or needing major emergency surgery later. 

What are treatments for chest pain?

Dr. Pal treats chest pain case-by-case, according to the results of your testing and your symptoms. 

He’s a renowned cardiologist with extensive experience in both nonoperative and surgical procedures including stenting, angioplasty, atherectomy, VenaSeal™, percutaneous treatments, and many more. 

Chest pain is easiest to treat and resolve if you reach out for help now, rather than allowing it time to worsen. At Vein & Cardiovascular Center: Ashish Pal, MD, Dr. Pal is ready to help you, so call the office or book your appointment online today.