Diagnosis and treatment of patients with ANOCA. Consensus document of the SEC-Clinical Cardiology Association/SEC-Interventional Cardiology Association/SEC-Ischemic Heart Disease and Acute Cardiac Care Association/ SEC-Cardiovascular Imaging Association.

The latter imaging modality has shown good correlation with PET, although there may be significant interobserver variability, thus requiring further validation in studies. 40 Finally, CMR can determine myocardial perfusion using stress and contrast agents (gadolinium) to calculate the myocardial perfusion reserve index, which is a surrogate parameter of CFR.

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