Interview on Sex Differences in Microvascular Disease Parameters with Dr. Michel Corban

November 2022 - This info is a re-share from an interview on Sex Differences in Microvascular Disease Parameters by Dr. Michel Corban from the University of Arizona and Annette Pompa and Sarah Brown from the International Heart Spasms Alliance. Patients with small vessel disease or Microvascular Angina with NOCAD have non obstructive larger arteries, but the microvessels do not dilate properly. They are at an increased risk of major adverse cardiovascular events including stroke, heart attack and even death. Women have been found to be at a higher risk for Microvascular issues. That is still true. However, let’s not forget our heart brothers! The percentages are not as starkly different as you may believe. Recent research in gold standard invasive testing suggests possible underdiagnosis/missed diagnosis in male patients. Sex-specific differences in coronary physiology and thus diagnostic coronary flow reserve testing algorithms for women and men needs to be highlighted. We must not think women so heavily outweigh men in these areas, that men are mistakenly assured. NOTE: first filming was November 2022. Now there are Sinus Reducer results! See this study: Coronary Sinus Reducer Improves Angina, Quality of Life, and Coronary Flow Reserve in Microvascular Dysfunction: https://pubmed.ncbi.nlm.nih.gov/39520443.