Coronary Microvascular Dysfunction (CMD) CoroFlow Program

Advancing Cardiovascular Care with the CoroFlow Program

The Lee Health Heart Institute is the first to provide Southwest Florida with the Coroflow program for diagnosing and treating CMD, angina, and chest pain. We are dedicated to advancing cardiovascular diagnosis, care, and treatment. Our CoroFlow Program exemplifies this commitment, representing a pivotal step in our mission to provide the highest quality care and tailored solutions for our patients.

The Importance of Early Detection 

Early detection of heart issues is crucial for maintaining heart health. Recognizing symptoms early allows for timely treatment, improving outcomes and preventing complications. You may need to consider lifestyle changes like a heart-healthy diet, regular exercise, weight management, and quitting smoking.

Understanding Coronary Microvascular Dysfunction (CMD)

CMD impacts the small blood vessels branching from the main coronary arteries, which are essential for supplying oxygen-rich blood to the heart muscle. Some individuals may experience  shortness of breath, fatigue, or reduced exercise capacity. It can also be asymptomatic, making diagnosis more difficult. The exact cause of CMD isn't fully understood, other potential causes and risk factors include: 

• High blood pressure
• Diabetes
• Obesity
• Smoking
• Hormonal changes in women

Diagnosing can be challenging due to its symptoms often mirroring other heart conditions. However, specialized cardiac imaging tests can help confirm the diagnosis. Early detection is crucial for effective management and improved clinical outcomes.

Coronary Microvascular Dysfunction in Women

Coronary microvascular dysfunction (CMD) is a condition that disproportionately affects women, particularly post menopausal women. Unlike traditional coronary artery disease that involves blockages in the major arteries, CMD affects the small blood vessels in the heart, impairing their ability to dilate properly and supply adequate blood flow to the heart muscle. Women experiencing unexplained heart symptoms should seek medical evaluation to ensure timely and accurate diagnosis.

Cardiac Imaging Diagnosis of CMD

Cardiologists analyze imaging data to determine the presence and severity of CMD, comparing findings to normal values and established diagnostic criteria. It's also essential to rule out other conditions with similar symptoms, such as coronary artery disease or heart failure. Here are the common heart imaging tests:

• Cardiac Catheterization: Examines the coronary arteries and measures blood flow.
• Cardiac Angiography: Uses contrast dye to visualize blood vessels and identify blockages.
• Cardiac MRI: Non-invasive imaging providing detailed images of the heart and blood vessels.