Fibromuscular dysplasia can cause a number of complications

Arterial cluster formation wierdness! Just when we think we've heard it all!....................

By Mayo Clinic staff

Fibromuscular dysplasia is a condition in which at least one of your arteries has an abnormal cluster of cells growing in the artery wall. This cluster causes the artery to narrow, which can cause damage to the organs that receive blood through the narrowed artery. Fibromuscular dysplasia can cause a number of complications, such as high blood pressure and a bulging area of the artery (aneurysm), if left untreated.

Fibromuscular dysplasia appears most commonly in the arteries leading to the kidneys. Fibromuscular dysplasia can also affect the arteries leading to your brain, abdomen, arms and legs. While there isn't a cure for fibromuscular dysplasia, it can be treated effectively.

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I also noted something just yesterday about FMD. Here is the link. Perhaps you'd like to alter your title a little and add the word SCAD. um=email&utm_source=20120302_TopStories_EN

"Although not all SCAD patients have CFMD, it is important to exclude FMD, as involvement of other vascular territories has long-term consequences," she and her colleagues observe.

"Once we've seen coronary dissection we routinely screen them for FMD now," she adds. And if vascular beds, such as the renal arteries, cerebrovasculature, and iliac arteries are examined by angiogram, FMD can easily be seen in these places, she explains.

Our conjecture or speculation is that if you have FMD elsewhere, the underlying abnormality that has predisposed these young women to coronary dissection is likely coronary FMD.
Women who are discovered to have FMD are referred to other specialties. "We tell them they have FMD and it can affect multiple organs. Some might have intracranial aneurysms that need to be followed over time. Some might have renal artery stenosis and severe hypertension, requiring angioplasty of the renal arteries."

With regard to their coronary symptoms, the women usually do well on dual antiplatelet therapy and beta blockers, as per standard ACS guidelines, she notes.

"Our conjecture or speculation is that if you have FMD elsewhere, the underlying abnormality that has predisposed these young women to coronary dissection—because they have no other cardiovascular risk factors that would predispose them to a tear—is likely coronary FMD, but we can't prove it because fortunately these women don't die, and it's impossible to diagnose cardiac FMD without a histological sample. So it's conjecture that they also have CFMD, but there's that link, an association. Whether it's causative needs further study," she concludes.

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As someone who had a heart attack at age 38 that was diagnosed as SCAD, and three months later being diagnosed with FMD at Mayo, I can't begin to tell you all how comforting it is to see articles such as the one by Dr Saw. It's hard having heart disease but complicating it with a weird artery disease has been tough. I finally feel, after three years, like I'm not totally a freak of nature! Thanks for posting this info ladies.

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