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. 2022 Jun 29;108(21):1737–1746. doi: 10.1136/heartjnl-2020-318743

Figure 5.

Figure 5

An approach to intracoronary physiological assessment for patients with chest pain but no obstructive coronary disease. *Indicates range for Doppler-based CFR (used in some protocols) and IMR. The European Society of Cardiology (ESC) guidelines give a IIa (B) recommendation for measuring CFR and microvascular resistance in patients with chest pain but unobstructed arteries.4 ACh, acetylcholine; CFR, coronary flow reserve; CMVD, coronary microvascular dysfunction; CP, chest pain; DS, diameter stenosis; FFR, fractional flow reserve; HMR, hyperaemic microvascular resistance; IMR, index of microvascular resistance; NHPR, non-hyperaemic pressure ratio.