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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Microvascular Changes In The Brain Indicate?

My doctor thinks I recently suffered a TIA. I have high blood pressure with high LDL low HDL and high trigyceries(sp?). She had me get a MRI with and without contrast. Today she got the results and said I have microvascular changes in the brain and wants me to see a neurologist but they can t get me in until December. Should I be concerned and what exactly is microvascular changes?
Tue, 21 Jan 2020
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Internal Medicine Specialist,  's  Response
Hello,

Microvascular change in brain indicate that there are blockages in very small arteries of brain. This will slowly reduce your memory thinking and other abilities over few years if you do not control the primary diseases leading to these blockages. The primary concern at the moment is that you control your blood pressure, lower your LDL and raise your HDL and screen for diabetes mellitus if any. I will recommend you to start with aspirin 75-150mg daily. Atorvastatin 20mg at night once a day, reduce your weight if you are over weight.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Muhammad Faisal Bacha, Internal Medicine Specialist
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What Does Microvascular Changes In The Brain Indicate?

Hello, Microvascular change in brain indicate that there are blockages in very small arteries of brain. This will slowly reduce your memory thinking and other abilities over few years if you do not control the primary diseases leading to these blockages. The primary concern at the moment is that you control your blood pressure, lower your LDL and raise your HDL and screen for diabetes mellitus if any. I will recommend you to start with aspirin 75-150mg daily. Atorvastatin 20mg at night once a day, reduce your weight if you are over weight. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist