Table 1.
Accepted Studies and Results
| Treatment | Patients (n) | Mean CFR or MPR Baseline | Mean CFR or MPR with Therapy | Treatment Duration | Mode of Assessing CFR or MPR | Findings | Authors |
|---|---|---|---|---|---|---|---|
| ACE Inhibitors | |||||||
| Quinapril | 13 | 2.2 ± 0.3 | 2.7 ± 0.5 | 4 months | IC Doppler | Improvement in angina and CFR | Pauly et al. 2011 (41) |
| Statins | |||||||
| Pravastatin | 6 | 0.97 | NA | 6 months | IC Doppler | No improvement in CFR | Houghton et al. 2000 (49) |
| Nitric Oxide Inhibitors | |||||||
| L-Arginine infusion | 12 | 2.0 ± 0.5 | NA | one time infusion | PET Scan | No improvement in MPR | Bøttcher et al 1999. (56) |
| Sildenafil | 12 | 2.1 ± 0.2 | 2.7 ± 0.6 | one time administration | IC Doppler | Improvement in CFR | Denardo et al. 2011 (55) |
| Calcium Blockers | |||||||
| Diltiazem infusion | 5 | 1.2 ± 0.1 | 1.3 ± 0.2 | one time infusion | Thermodilution | No improvement in CFR | Sutsch et al. 1995 (46) |
| Estrogens | |||||||
| Norethindrone/ethinyl estradiol | 18 | <2.25 | NA | 12 weeks | IC Doppler | Improvement in angina | Bairey Merz et al. 2010 (62) |
| Alpha Blockers | |||||||
| Doxazosin | 10 | 1.84 ± 0.55 | NA | 10 weeks | Thermodilution | No improvement in symptoms | Bøtker et al. 1998 (60) |
| Other | |||||||
| TENS | 8 | 1.59 ± 0.15 | 1.90 ± 0.1 | 4 weeks | PET Scan | Improvement in angina and MPR | Jessurun et al. 2003 (64) |
Review of the different studies that have met our strict inclusion criteria for CMD in patients with angina and no obstructive epicardial coronary artery disease. CFR = coronary flow reserve, MPR = myocardial perfusion reserve, PET = positron emission tomography, MVD = microvascular dysfunction, TENS = transcutaneous electrical nerve stimulation