Small vessel disease, also called coronary microvascular disease or small vessel heart disease, is a conditon that the walls of small arteries in the heart are damaged. If you have symptoms (such as chest pain/angina and shortness of breath) of coronary artery disease but there is little or no narrowing of your main coronary arteries, you doctor may diagnose you have small vessel disease. Treatment include nitroglycerin, beta blockers such as propranolol (Inderal, Innopran XL, others) and bisoprolol (Zebeta), calcium channel blockers such as verapamil (Verelan, Calan, others) and diltiazem (Cardizem, Diltzac, others), statins such as atorvastatin (Lipitor) and simvastatin (Zocor), angiotensin-converting enzyme (ACE) inhibitors such as such as benazepril (Lotensin) and lisinopril (Prinivil, Zestril), angiotensin II receptor blockers (ARBs) such as azilsartan (Edarbi) and losartan (Cozaar), ranolazine (Ranexa) and aspirin.
How is Small vessel disease treated in practice?