The control of coronary blood flow has been studied for decades, but despit
e our extensive efforts, the critical regulators of flow are largely unknow
n. One purpose of this review is to summarize some recent concepts about th
e control of coronary flow and also point out areas where additional knowle
dge must be acquired. A second purpose of this review is to highlight the n
eed for additional noninvasive measurements of flow that undoubtedly will r
equire further evolution of contemporary technologies, and also application
of specific methods toward noninvasive measurements of coronary blood flow
. Only after the development of such measurements will the scientific commu
nity begin to understand the intricacies of the regulation of coronary flow
in human beings.