Overview
This JACC: Cardiovascular Imaging Journal article features Drs. Nils P. Johnson, Richard L. Kirkeeide and K. Lance Gould examining whether observed discordance between coronary flow reserve and fractional flow reserve is due to methodology or reflects basic coronary pathophysiology.
Click the Start Program button to begin learning about the relationship between coronary flow reserve and fractional flow reserve.

This online educational activity is brought to you by JACC: Cardiovascular Imaging.
CME Information
Target Audience
All healthcare professionals who practice/study cardiovascular medicine.
Important Dates Date of Release: February 2012
Term of Approval/Date of CME Expiration: February 2013
Learner Objectives
At the completion of this article, the learner should be able to:
- Describe the relationship between coronary flow reserve (CFR) and fractional flow reserve (FFR) as focal stenosis and diffuse disease vary
- Identify the dominant mechanism of flow alteration given a specific pair of CFR and FFR values
- Discuss the clinical implications for mechanical revascularization when CFR and FFR are discordant
Method of Participation and Claiming Credit
This ACCF JACC Journals CME activity features an article and Self-Assessment questions. To be eligible for credit, you must attain a score of 66% or better on the self-assessment exams included in the activity.
Requesting AMA PRA Category 1 CME Credit™ for this Activity
To request credit, you must:
- Read all text in the modules for which you wish to receive credit.
- Answer the Self-Assessment questions in each module for which you wish to claim credit. After you have answered all the questions in the module, click on the Exam Summary button. A Claim Credit button will appear on this page if you have achieved a passing score of 66% or better. If you did not achieve a passing score, please click the Reset Scores link and retake the exam.
- Click the Claim Credit button and answer the evaluation questions in the pop-up window.
- Enter the total amount of time you actually spent in the activity in the box provided. Please note that you may only claim once for each module in this activity. Click Submit.
- You will receive a message that your request has been submitted and a link to view your certificate. You may view and download the certificate when you receive the message, you may also view it at any time in the My Transcript section of My CardioSource.