The central role of conventional 12-lead ECG for the assessment of microvascular obstruction after percutaneous myocardial revascularization

Fabio Infusino; Giampaolo Niccoli; Francesco Fracassi; Marco Roberto; Elena Falcioni; Gaetano A. Lanza; Filippo Crea

doi:10.1016/j.jelectrocard.2013.10.002

The central role of conventional 12-lead ECG for the assessment of microvascular obstruction after percutaneous myocardial revascularization

Fabio Infusino, Giampaolo Niccoli, Francesco Fracassi, Marco Roberto, Elena Falcioni, Gaetano A. Lanza, Filippo Crea

IRCCS Multimedica

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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.

Original language	English
Pages (from-to)	45-51
Number of pages	7
Journal	Journal of Electrocardiology
Volume	47
Issue number	1
DOIs	https://doi.org/10.1016/j.jelectrocard.2013.10.002
Publication status	Published - Jan 2014

Keywords

Acute myocardial infarction
Electrocardiogram
Microvascular obstruction

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.jelectrocard.2013.10.002

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The central role of conventional 12-lead ECG for the assessment of microvascular obstruction after percutaneous myocardial revascularization. / Infusino, Fabio; Niccoli, Giampaolo; Fracassi, Francesco; Roberto, Marco; Falcioni, Elena; Lanza, Gaetano A.; Crea, Filippo.

In: Journal of Electrocardiology, Vol. 47, No. 1, 01.2014, p. 45-51.

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

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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.",

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AU - Infusino, Fabio

AU - Niccoli, Giampaolo

AU - Fracassi, Francesco

AU - Roberto, Marco

AU - Falcioni, Elena

AU - Lanza, Gaetano A.

AU - Crea, Filippo

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AB - 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.

KW - Acute myocardial infarction

KW - Electrocardiogram

KW - Microvascular obstruction

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The central role of conventional 12-lead ECG for the assessment of microvascular obstruction after percutaneous myocardial revascularization

Abstract

Keywords

ASJC Scopus subject areas

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