Microvascular Complications

Microvascular complications are long-term health complications that affect small blood vessels and are mainly caused due to diabetes. These complications generally include retinopathy, neuropathy, and nephropathy. Among these, diabetic retinopathy is the most common type of complication and is highly related to type 2 diabetes.

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Kindly interpret my MRI reports and give suggestions.

Query: Hello doctor, I want my MRI reports to be interpreted. Kindly suggest. Impression: 1. There is no evidence of CP angle, TH, 8th nerve bundle mass, abnormal enhancement, or plasma. There is an ectatic vertebrobasilar artery eccentric to the right, crossing in close proximity to the tight auditory can...  Read Full »

Dr. Seyedaidin Sajedi

Answer: Hello, Welcome to icliniq.com. I read your MRI report (attachment removed to protect the patient's identity). It is generally normal. The issue of the eccentric vertebrobasilar artery (VTA) is no sign of a disease or an important defect. VTA is one of the main arteries that supply blood to the bra...  Read Full »

Can arterioles and capillaries feel pain?

Query: Hi doctor, Does MRA show arterioles? Does CTA show small vessels? Can SPECT tell microvasculitis from vasospasm in microvessel? Do arterioles and capillaries feel pain?  Read Full »

Dr. Vivek Chail

Answer: Hi, Welcome to icliniq.com. I have read through your query in detail. Please find my observations below. A machine having high power magnet might be able to show arterioles in MRA (magnetic resonance angiography). A CTA (Computed tomography angiography) might show small vessels but not exact...  Read Full »

My wife has cardiomegaly. Will that cause lower limb microvasculature resulting in more fragile skin?

Query: Hi doctor, My wife has cardiomegaly, HFpEF 50 to 55%. Moderate PAH (44 mmHg) by the echo. NT-proBNP of 1130 pgs/ ml. She had COVID-19, and was in ICU; massive systemic glucocorticoids or other catabolic steroids saved her, but during her ten days in the hospital, NT-proBNP was 5,000 pgs/ml; fasting ...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Sad to know about her multiple comorbidities. She has heart failure with preserved ejection fraction. What can be done to reverse heart failure or slow the progression? Adopt the following measures: 1) Control her blood sugar levels. HbA1c (hemoglobin) should be less than...  Read Full »

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