Skip to main content
. Author manuscript; available in PMC: 2016 Jan 31.
Published in final edited form as: JACC Cardiovasc Imaging. 2015 Feb;8(2):210–220. doi: 10.1016/j.jcmg.2014.12.008

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