Optimal reperfusion in ST-elevation myocardial infarction--the role of the coronary microcirculation
- PMID: 22161870
- DOI: 10.4414/smw.2011.13313
Optimal reperfusion in ST-elevation myocardial infarction--the role of the coronary microcirculation
Abstract
Coronary microcirculation plays a crucial role for the outcomes of patients with STEMI. Although PPCI improves outcomes compared to thrombolysis, a substantial amount of STEMI patients do not achieve optimal myocardial reperfusion. Angiographic methods for assessment of reperfusion like TIMI Flow and MBG are easy to use but new, catheter laboratory based techniques to assess reperfusion have a lot of potential to assess and potentially guide management of patients with STEMI.
Similar articles
-
Implications of ventricular arrhythmia "bursts" with normal epicardial flow, myocardial blush, and ST-segment recovery in anterior ST-elevation myocardial infarction reperfusion: a biosignature of direct myocellular injury "downstream of downstream".Eur Heart J Acute Cardiovasc Care. 2015 Feb;4(1):51-9. doi: 10.1177/2048872614532414. Epub 2014 Jul 25. Eur Heart J Acute Cardiovasc Care. 2015. PMID: 25063574 Clinical Trial.
-
Thrombus aspiration before primary angioplasty improves myocardial reperfusion in acute myocardial infarction: the DEAR-MI (Dethrombosis to Enhance Acute Reperfusion in Myocardial Infarction) study.J Am Coll Cardiol. 2006 Oct 17;48(8):1552-9. doi: 10.1016/j.jacc.2006.03.068. Epub 2006 Sep 26. J Am Coll Cardiol. 2006. PMID: 17045887 Clinical Trial.
-
Effect of Hematologic Parameters on Microvascular Reperfusion in Patients With ST-Segment Elevation Myocardial Infarction Treated With Primary Percutaneous Coronary Intervention.Angiology. 2016 Feb;67(2):151-6. doi: 10.1177/0003319715583204. Epub 2015 May 25. Angiology. 2016. PMID: 26007233
-
Coronary microcirculation and reperfusion failure. Do we know what diagnostic tools we have?Przegl Lek. 2002;59(11):932-40. Przegl Lek. 2002. PMID: 12715726 Review.
-
Microcirculatory dysfunction in ST-elevation myocardial infarction: cause, consequence, or both?Eur Heart J. 2007 Apr;28(7):788-97. doi: 10.1093/eurheartj/ehl501. Epub 2007 Mar 8. Eur Heart J. 2007. PMID: 17347176 Review.
Cited by
-
Mechanical and Pharmacological Revascularization Strategies for Prevention of Microvascular Dysfunction in ST-Segment Elevation Myocardial Infarction: Analysis from Index of Microcirculatory Resistance Registry Data.J Interv Cardiol. 2020 Jul 9;2020:5036396. doi: 10.1155/2020/5036396. eCollection 2020. J Interv Cardiol. 2020. PMID: 32728350 Free PMC article.
-
Peripheral cardiac sympathetic hyperactivity in cardiovascular disease: role of neuropeptides.Am J Physiol Regul Integr Comp Physiol. 2013 Dec 15;305(12):R1411-20. doi: 10.1152/ajpregu.00118.2013. Epub 2013 Sep 4. Am J Physiol Regul Integr Comp Physiol. 2013. PMID: 24005254 Free PMC article. Review.
-
Relationship of plasma neuropeptide Y with angiographic, electrocardiographic and coronary physiology indices of reperfusion during ST elevation myocardial infarction.Heart. 2013 Aug;99(16):1198-203. doi: 10.1136/heartjnl-2012-303443. Epub 2013 Feb 12. Heart. 2013. PMID: 23403409 Free PMC article.
-
The Impact of Lesion Complexity and the CHA2DS2-VASc Score on Spontaneous Reperfusion in Patients with ST-Segment Elevation Myocardial Infarction.Int J Clin Pract. 2022 Feb 9;2022:8066780. doi: 10.1155/2022/8066780. eCollection 2022. Int J Clin Pract. 2022. PMID: 35685511 Free PMC article.
-
Changes in Microcirculation in the Brain, Heart, and Liver in Female Rats with Translational Model of Alcoholic Cardiomyopathy.Bull Exp Biol Med. 2023 Aug;175(4):442-445. doi: 10.1007/s10517-023-05885-0. Epub 2023 Sep 28. Bull Exp Biol Med. 2023. PMID: 37770783
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical