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

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

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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AU - Falcioni, Elena

AU - Lanza, Gaetano A.

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