Microvascular myocardial ischemia can not be cured, you can take long-term anti-platelet, lipid regulating drugs to control the symptoms. Microvascular myocardial ischemia refers to the narrowing and blockage of small blood vessels in the heart, once the blood vessels have narrowing and blockage, there is no medication that can completely make the narrowed and blocked blood vessels clear and smooth, so it cannot be cured. Long-term use of antiplatelet drugs, such as aspirin and Tegretol, is needed to prevent platelet aggregation. Lipid-regulating drugs, such as atorvastatin and resuvastatin, stabilize plaque. Long-term medication can prevent further narrowing and blockage of narrowed blood vessels, which can lead to acute myocardial infarction with risk of death if the vessel is completely blocked. It is important to keep risk factors under control, with standard blood pressure and glucose control, and low-density lipoprotein control at less than 1.8 mmol per liter. Therefore microvascular myocardial ischemia, be sure to follow the doctor’s instructions for medication, chest tightness and chest pain during the use of medication, should be followed up at any time.