So how do you diagnosis #microvascular disease in women? Next up we have Dr Viviany Taqueti @VTaqMD from @BrighamWomens to review this topic. #SCCT2020 #YesCCT #HerHeartMatters 1 of 6
First, in patients with continued symptoms suggestive of angina despite nonobstructive CAD (or following optimal revascularization), coronary microvascular dysfunction #CMD may be the culprit - don't assume it is non-cardiac chest pain! @VTaqMD #SCCT2020 2/6
Coronary microvascular dysfunction #CMD is highly prevalent in patients with #angina and/or signs of ischemia referred for invasive coronary evaluation. @VTaqMD #SCCT2020 3/6
4)When severely impaired, coronary low reserve #CFR is even more prognostically significant in women (despite their lower prevalence of obstructive CAD). @VTaqMD #SCCT2020 4/6
🔑Most pts with CMD also have atherosclerosis
🔑Interplay of CMD, CAD & CV risk is critical in differentiating for what may constitute appropriate therapeutic strategies in CMD
🔑Opportunity to improve treatment of symptomatic women
Thank you @VTaqMD for great #SCCT2020 talk 5/6
In sum, #PET & #yesCCT can both provide important and complimentary roles for #CMD in women. Whether you start with functional or anatomical test first, unexplained symptoms warrant work up for #CMD in women. @VTaqMD #SCCT2020 6/6
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