Coronary disease & ACS

Age- and Sex-Specific Myocardial Blood Flow Values in Patients Without Coronary Atherosclerosis on Rb-82 PET Myocardial Perfusion Imaging

Circ Cardiovasc ImagingPublished Retrospective cohort study

Authors' conclusion

In patients without demonstrable coronary artery disease, MBFR is higher in younger males than younger females and decreases with age in both sexes.

Study context

Population
Patients without demonstrable CAD undergoing PET myocardial perfusion imaging, 2012–2022 (summed stress score 0, coronary calcium score 0, LVEF ≥50%; excluding known CAD, prior coronary intervention, DM, heart/kidney/liver transplant, cirrhosis, CKD stage IV+)76.4% females
Participants
2,789 patients
Exposure
Males vs females, by age
Outcome
Effect of age and sex on MBF and MBFR
Methodological detailsquantile regression
  • Quantile regression

Main finding

As reported in the abstract

Median rest myocardial blood flow (MBF), mL/min·g (IQR not labelled)
0.73 (0.60-0.91)
Median stress MBF, mL/min·g
1.72 (1.41-2.10)
Median myocardial blood flow reserve (MBFR)
2.31 (1.96-2.74)
Predicted MBFR, 20-year-old male
3.18
Predicted MBFR, 20-year-old female
2.50
Predicted MBFR, 80-year-old male
2.17
Predicted MBFR, 80-year-old female
2.02

Observational data: associations, not effects.

Original publication

Age- and Sex-Specific Myocardial Blood Flow Values in Patients Without Coronary Atherosclerosis on Rb-82 PET Myocardial Perfusion Imaging. Circ Cardiovasc Imaging. Published 16 July 2024. doi:10.1161/circimaging.124.016577

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