Abstract: Compared with men, women have different anatomical and physiological basis of coronary artery and neurohormone levels, resulting in more often from non-obstructive coronary microvascular dysfunction. Absolute quantitative myocardial perfusion imaging (MPI) is a noninvasive functional examination, which increases diagnosis performance, treatment evaluation, and prognostic evaluation of coronary artery disease (CAD). The change of heart rate and blood pressure in stress test, as the alternative indicator of autonomic nerve function, has a role in predicting blood perfusion parameters and adverse cardiovascular events. This review summarizes the gain value of stress MPI heart rate and blood pressure change on CAD diagnosis and risk assessment, so as to provide a basis for promoting the clinical application of stress MPI and formulating a diagnosis and treatment plan aimed to improving female autonomic nerve function.