| Literature DB >> 24290322 |
Fabio Infusino1, Giampaolo Niccoli2, Francesco Fracassi1, Marco Roberto1, Elena Falcioni1, Gaetano A Lanza1, Filippo Crea1.
Abstract
Guidelines report that the optimal treatment for ST-elevation myocardial infarction (STEMI) is a primary percutaneous coronary intervention (PPCI) when performed timely by trained operators. Yet, the reopening of the infarct-related artery (IRA) is not always followed by myocardial reperfusion. This phenomenon is most commonly called "no-reflow", is caused by microvascular obstruction (MVO) and is associated to a worse outcome. Electrocardiogram (ECG) is crucial for the diagnosis of STEMI, but is also useful for the assessment of MVO. In this review we summarize ECG-derived parameters associated to MVO and their prognostic relevance.Entities:
Keywords: Acute myocardial infarction; CMR; ECG; Electrocardiogram; HRT; HRV; IRA; MBG; MCE; MVO; Microvascular obstruction; PPCI; PTCA; ST segment elevation; ST segment elevation myocardial infarction; ST segment elevation resolution; STE; STEMI; STER; STR; TIMI; Thrombolysis In Myocardial Infarction; cardiovascular magnetic resonance; electrocardiogram; heart rate turbulence; heart rate variability; infarct-related artery; microvascular obstruction; myocardial blush grade; myocardial contrast echocardiography; percutaneous transluminal coronary angioplasty; primary percutaneous coronary intervention; rate of ST segment elevation resolution
Mesh：
Year: 2013 PMID： 24290322 DOI： 10.1016/j.jelectrocard.2013.10.002
Source DB: PubMed Journal: J Electrocardiol ISSN： 0022-0736 Impact factor: 1.438