Evidence mapPaperPMID 41746590Full record

ReviewNetherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation2026

Microvascular Resistance Reserve (MRR): a new concept to understand the coronary microcirculation.

Annemiek de Vos, Danielle Keulards, Tijn Jansen, Caïa Crooijmans, Peter Damman, Pim Tonino

Abstract readReview
In one paragraph

Review in Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Annemiek de VosDepartment of Cardiology, Catharina Hospital, Eindhoven, The Netherlands. annemiek.d.vos@catharinaziekenhuis.nl.ORCID http://orcid.org/0000-0003-4613-6774
Danielle KeulardsDepartment of Cardiology, Catharina Hospital, Eindhoven, The Netherlands.
Tijn JansenDepartment of Cardiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Caïa CrooijmansDepartment of Cardiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Peter DammanDepartment of Cardiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Pim ToninoDepartment of Cardiology, Catharina Hospital, Eindhoven, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, there have been numerous developments in the field of coronary physiology with the addition of new indices for the evaluation of the coronary microcirculation, such as invasive measurement of absolute coronary blood flow and microvascular resistance. This has resulted in more accurate diagnostic tools for patients with angina and no obstructive coronary artery disease (ANOCA), with the possibility to distinguish different endotypes of coronary microvascular dysfunction (CMD). Because of the growing recognition of ANOCA and, along with that, the increasing application of coronary function testing due to the latest guideline recommendations, it is timely and important to further explain the concept of absolute coronary flow, microvascular resistance, and the latest addition to the field: Microvascular Resistance Reserve (MRR). Differentiation between specific endotypes of CMD will help to develop tailored therapy for ANOCA patients.

Indexed as

Absolute coronary blood flowANOCACoronary function testCoronary physiologyMicrocirculatory resistanceMicrocirculatory resistance reserve

Identifiers

PMID41746590
PMCPMC13009436

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.