Thread by @DrMarthaGulati

#SCCT2020 Limitations of Stress Testing/Imaging in Women from @Heart_SCCT
♥️Too few 💃 enrolled in studies based on prevelance esp in CAD and HF
♥️NIH/Gov funded the worst enrollees of women! We need to change that

#scct2020 Sex Considerations for Stress Testing need to be considered
♥️ Sn/Sp of tests based on doing Cath for Obstructive CAD: these are NOT false positives! so these numbers are outdated IMHO
♥️every imaging modality has + &- to consider when imaging women

#SCCT2020
♥️Prognostic implications of CAC in women vs men well established: CAC >300: 💃 do worse
♥️Nonobstructive disease more prevalent in 💃
♥️ Implications on imaging women ultimately

#scchat
‘Common Soil Hypothesis’ :  #INOCA and #HFpEF linked by CMD
#stresstesting #women #sexdifferences @AnastasiaSMihai @HeartOTXHeartMD

#SCCT2020 @Heart_SCCT
♥️Women have smaller epicardial coronary arteries than men, after adjustment for age, BMI, BSA, LV mass
♥️Women demonstrated higher coronary blood flows

#SCCT2020 Sex Differences in Radiation & Risks
♥️In Women left breast and imaging of heart need to be considered
♥️In both men and women, we need to reduce radiation anyway so strategies for this outlined
♥️pregnant 💃: delay imaging or use imaging without radiation if possible

#SCCT2020
Stress Testing in women:
♥️Need to take into consideration differences in pathophysiology, anatomical differences, types of atherogenesis, pregnancy, left breast exposure to radiation
♥️Integration of both function & anatomy may improve detection of IHD in women & INOCA