Integrated analysis of myocardial blush and ST-segment elevation recovery after successful primary angioplasty: Real-time grading of microvascular reperfusion and prediction of early and late recovery of left ventricular function

Arnaldo Poli; Raffaela Fetiveau; Pietro Vandoni; Gianfranco Del Rosso; Maurizio D'Urbano; Giovanni Seveso; Francesco Cafiero; Stefano De Servi

doi:10.1161/01.CIR.0000022691.71708.94

Integrated analysis of myocardial blush and ST-segment elevation recovery after successful primary angioplasty: Real-time grading of microvascular reperfusion and prediction of early and late recovery of left ventricular function

Arnaldo Poli, Raffaela Fetiveau, Pietro Vandoni, Gianfranco Del Rosso, Maurizio D'Urbano, Giovanni Seveso, Francesco Cafiero, Stefano De Servi

IRCCS Fondazione Policlinico San Matteo

Research output: Contribution to journal › Article › peer-review

Abstract

Background - ST-segment elevation (ΣSTe) recovery and the angiographic myocardial blush (MB) grade are useful markers of microvascular reperfusion after recanalization of the infarct-related artery. We investigated the ability of a combined analysis of MB grade and ΣSTe changes to identify different patterns of myocardial reperfusion shortly after primary percutaneous coronary angioplasty (PTCA) and to predict 7-day and 6-month left ventricular (LV) functional recovery. Methods and Results - MB grade and ΣSTe recovery were evaluated shortly after successful primary PTCA (restoration of TIMI grade 3 flow) in 114 consecutive patients with ΣSTe acute myocardial infarction. LV function was assessed by 2D echocardiograms before PTCA and at 7 days and 6 months thereafter. By combining MB and ΣSTe changes, 3 main groups of patients were identified. Group 1 patients (n=60) had both significant MB (grade 2 to 3) and ΣSTe recovery (

Original language	English
Pages (from-to)	313-318
Number of pages	6
Journal	Circulation
Volume	106
Issue number	3
DOIs	https://doi.org/10.1161/01.CIR.0000022691.71708.94
Publication status	Published - Jul 16 2002

Keywords

Imaging
Myocardial infarction, acute
Reperfusion

ASJC Scopus subject areas

Physiology
Cardiology and Cardiovascular Medicine

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Poli, A., Fetiveau, R., Vandoni, P., Del Rosso, G., D'Urbano, M., Seveso, G., Cafiero, F., & De Servi, S. (2002). Integrated analysis of myocardial blush and ST-segment elevation recovery after successful primary angioplasty: Real-time grading of microvascular reperfusion and prediction of early and late recovery of left ventricular function. Circulation, 106(3), 313-318. https://doi.org/10.1161/01.CIR.0000022691.71708.94

Integrated analysis of myocardial blush and ST-segment elevation recovery after successful primary angioplasty : Real-time grading of microvascular reperfusion and prediction of early and late recovery of left ventricular function. / Poli, Arnaldo; Fetiveau, Raffaela; Vandoni, Pietro; Del Rosso, Gianfranco; D'Urbano, Maurizio; Seveso, Giovanni; Cafiero, Francesco; De Servi, Stefano.

In: Circulation, Vol. 106, No. 3, 16.07.2002, p. 313-318.

Research output: Contribution to journal › Article › peer-review

Poli, A, Fetiveau, R, Vandoni, P, Del Rosso, G, D'Urbano, M, Seveso, G, Cafiero, F & De Servi, S 2002, 'Integrated analysis of myocardial blush and ST-segment elevation recovery after successful primary angioplasty: Real-time grading of microvascular reperfusion and prediction of early and late recovery of left ventricular function', Circulation, vol. 106, no. 3, pp. 313-318. https://doi.org/10.1161/01.CIR.0000022691.71708.94

Poli A, Fetiveau R, Vandoni P, Del Rosso G, D'Urbano M, Seveso G et al. Integrated analysis of myocardial blush and ST-segment elevation recovery after successful primary angioplasty: Real-time grading of microvascular reperfusion and prediction of early and late recovery of left ventricular function. Circulation. 2002 Jul 16;106(3):313-318. https://doi.org/10.1161/01.CIR.0000022691.71708.94

Poli, Arnaldo ; Fetiveau, Raffaela ; Vandoni, Pietro ; Del Rosso, Gianfranco ; D'Urbano, Maurizio ; Seveso, Giovanni ; Cafiero, Francesco ; De Servi, Stefano. / Integrated analysis of myocardial blush and ST-segment elevation recovery after successful primary angioplasty : Real-time grading of microvascular reperfusion and prediction of early and late recovery of left ventricular function. In: Circulation. 2002 ; Vol. 106, No. 3. pp. 313-318.

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abstract = "Background - ST-segment elevation (ΣSTe) recovery and the angiographic myocardial blush (MB) grade are useful markers of microvascular reperfusion after recanalization of the infarct-related artery. We investigated the ability of a combined analysis of MB grade and ΣSTe changes to identify different patterns of myocardial reperfusion shortly after primary percutaneous coronary angioplasty (PTCA) and to predict 7-day and 6-month left ventricular (LV) functional recovery. Methods and Results - MB grade and ΣSTe recovery were evaluated shortly after successful primary PTCA (restoration of TIMI grade 3 flow) in 114 consecutive patients with ΣSTe acute myocardial infarction. LV function was assessed by 2D echocardiograms before PTCA and at 7 days and 6 months thereafter. By combining MB and ΣSTe changes, 3 main groups of patients were identified. Group 1 patients (n=60) had both significant MB (grade 2 to 3) and ΣSTe recovery (",

keywords = "Imaging, Myocardial infarction, acute, Reperfusion",

author = "Arnaldo Poli and Raffaela Fetiveau and Pietro Vandoni and {Del Rosso}, Gianfranco and Maurizio D'Urbano and Giovanni Seveso and Francesco Cafiero and {De Servi}, Stefano",

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AU - Poli, Arnaldo

AU - Fetiveau, Raffaela

AU - Vandoni, Pietro

AU - Del Rosso, Gianfranco

AU - D'Urbano, Maurizio

AU - Seveso, Giovanni

AU - Cafiero, Francesco

AU - De Servi, Stefano

PY - 2002/7/16

Y1 - 2002/7/16

N2 - Background - ST-segment elevation (ΣSTe) recovery and the angiographic myocardial blush (MB) grade are useful markers of microvascular reperfusion after recanalization of the infarct-related artery. We investigated the ability of a combined analysis of MB grade and ΣSTe changes to identify different patterns of myocardial reperfusion shortly after primary percutaneous coronary angioplasty (PTCA) and to predict 7-day and 6-month left ventricular (LV) functional recovery. Methods and Results - MB grade and ΣSTe recovery were evaluated shortly after successful primary PTCA (restoration of TIMI grade 3 flow) in 114 consecutive patients with ΣSTe acute myocardial infarction. LV function was assessed by 2D echocardiograms before PTCA and at 7 days and 6 months thereafter. By combining MB and ΣSTe changes, 3 main groups of patients were identified. Group 1 patients (n=60) had both significant MB (grade 2 to 3) and ΣSTe recovery (

AB - Background - ST-segment elevation (ΣSTe) recovery and the angiographic myocardial blush (MB) grade are useful markers of microvascular reperfusion after recanalization of the infarct-related artery. We investigated the ability of a combined analysis of MB grade and ΣSTe changes to identify different patterns of myocardial reperfusion shortly after primary percutaneous coronary angioplasty (PTCA) and to predict 7-day and 6-month left ventricular (LV) functional recovery. Methods and Results - MB grade and ΣSTe recovery were evaluated shortly after successful primary PTCA (restoration of TIMI grade 3 flow) in 114 consecutive patients with ΣSTe acute myocardial infarction. LV function was assessed by 2D echocardiograms before PTCA and at 7 days and 6 months thereafter. By combining MB and ΣSTe changes, 3 main groups of patients were identified. Group 1 patients (n=60) had both significant MB (grade 2 to 3) and ΣSTe recovery (

KW - Imaging

KW - Myocardial infarction, acute

KW - Reperfusion

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