Fig. 5

Graphical abstract. Panel a: stepwise CMR analysis, step 2 only performed in patients with normal or equivocal findings after step 1. Panel b: diagnostic accuracy of CMR to detect obstructive CAD (≥ 70% stenosis in any epicardial coronary artery) and acute coronary syndrome (ACS). Panel c: adjudicated diagnosis by independent committee, based on clinical data, CMR and invasive coronary angiography. Abbreviations: CAD coronary artery disease; CMR cardiovascular magnetic resonance imaging; NSTEMI non-ST elevation myocardial infarction