Table 2. Prognostic value of PET-CFR in women as compared to men.
Variables | Murthy et al. [2011] | Taqueti et al. [2016] |
---|---|---|
Patients, n | 1,218 (67% women) | 329 (43% women) |
End point | MACE (n=75) | MACE (n=74) |
Follow up, years | 1.3 | 3 |
PET tracer | 13N Ammonia/Rb-82 | 13N Ammonia/Rb-82 |
Preserved CFR | >2 | >2 |
Major findings | Coronary microvascular dysfunction (as defined as CFR <2) was a powerful incremental predictor of MACE, both in men and women despite normal stress perfusion imaging by PET | As compared to men, women referred for invasive evaluation of CAD demonstrated less obstructive epicardial CAD, but greater adjusted risk of cardiovascular events. Only women with severely impaired coronary flow reserve (<1.6) demonstrated increased risk relative to men |
PET, positron emission tomography; CFR, coronary flow reserve; MACE, major adverse cardiac events; CAD, coronary artery disease.