Coronary disease & ACS

Sex- and age-specific normal values for automated quantitative pixel-wise myocardial perfusion cardiovascular magnetic resonance

Eur Heart J Cardiovasc ImagingPublished Cross-sectional study

Authors' conclusion

Fully automated in-line CMR myocardial perfusion mapping produces similar normal values to the published CMR and PET literature. There is a significant increase in rest and stress MBF, but not MPR, in females and a reduction of stress MBF and MPR with advancing age

Study context

Population
Healthy volunteers undergoing adenosine stress and rest myocardial perfusion cardiovascular magnetic resonance (CMR)
Participants
151 healthy volunteers
Exposure
Females vs Males
Outcome
Sex- and age-specific normal values for stress and rest CMR myocardial blood flow (MBF)
Methodological detailstwo centres
  • Two centres

Main finding

As reported in the abstract

Mean rest myocardial blood flow (MBF), all subjects

0.62 ± 0.13 mL/g/min

Mean stress MBF, all subjects

2.24 ± 0.53 mL/g/min

Mean myocardial perfusion reserve (MPR), all subjects

3.74 ± 1.00

Observational data: associations, not effects.

Further findings

Rest MBF by sex

P < 0.01

Stress MBF by sex

P = 0.001

Correlation with increasing age

Stress MBF vs age, r
−0.43, P < 0.001
MPR vs age, r
−0.34, P < 0.001

Original publication

Sex- and age-specific normal values for automated quantitative pixel-wise myocardial perfusion cardiovascular magnetic resonance. Eur Heart J Cardiovasc Imaging. Published 2 December 2022. doi:10.1093/ehjci/jeac231

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