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. 2025 Jun 11;30(14):103611. doi: 10.1016/j.jaccas.2025.103611

Table 2.

Summary of Coronary Flow and Microcirculatory Resistance Indices and Formulas

Flow Index Formula Explanation
Index of microcirculatory resistance (IMR) PdHyp×TmnHyp Hyperemic microcirculatory resistance
Corrected index of microcirculatory resistance (IMRC) PaHyp×TmnHyp×(1.35×PdHypPaHyp0.32) Hyperemic microcirculatory resistance corrected for collateral flow
Baseline resistance index (BRI) PdRest×TmnRest Resting microcirculatory resistance
Resting flow velocity (RFV) 1TmnRest Estimated resting flow velocity.
Hyperemic flow velocity (HFV) 1TmnHyp Estimated hyperemic flow velocity
Coronary flow reserve (CFR) TmnRestTmnHyp Hyperemic coronary flow velocity in relation to resting flow velocity
Microvascular resistance reserve (MRR) CFRFFR×PaRestPaHyp Resting microcirculatory resistance in relation to hyperemic microcirculatory resistance, adjusted for the presence of epicardial lesions
Fractional flow reserve (FFR) PdHypPaHyp Distal coronary pressure in relation to aortic pressure during hyperemia

PaHyp = aortic pressure during hyperemia; PaRest = aortic pressure during rest; PdHyp = distal coronary pressure during hyperemia; PdRest = distal coronary pressure during rest; TmnHyp = mean transit time of a saline bolus during hyperemia; TmnRest = mean transit time of a saline bolus during rest.