How mental stress affects small coronary blood vessels in women

Mental Stress Reactivity in Women with Coronary Microvascular Dysfunction

NIH-funded research Emory University · NIH-11257272

This project looks at whether women with small-vessel heart disease have stronger stress-driven nerve responses that narrow heart microvessels and cause symptoms.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionEmory University NIH-funded
Lab location1 site (Atlanta, United States)
Project IDNIH-11257272 on NIH RePORTER

What this research studies

You would be invited to undergo mental stress testing while doctors measure your heart blood flow with PET scans and monitor nervous-system responses and vessel behavior. The team will compare women known or suspected to have coronary microvascular dysfunction with others to see if stress causes the small heart vessels to constrict. Tests include questionnaires about anxiety, measurements of sympathetic (fight-or-flight) activity, and imaging of myocardial flow reserve. The goal is to connect stress responses to reduced blood flow in the heart's microcirculation to guide future treatments.

Who could benefit from this research

Good fit: Women who have chest pain or signs of myocardial ischemia but no major blockages on coronary angiography, or who have been diagnosed with coronary microvascular dysfunction, are ideal candidates.

Not a fit: People with significant obstructive coronary artery disease, men, or those unable to undergo PET imaging or stress testing may not be eligible or benefit.

Why it matters

Potential benefit: If successful, this work could point to treatments that reduce stress-triggered chest pain and lower heart risks in women with coronary microvascular dysfunction.

How similar studies have performed: Previous studies show PET can detect microvascular dysfunction and that mental stress can trigger symptoms, but directly linking sympathetic activation to microvascular constriction in women is relatively new.

Where this research is happening

Atlanta, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.