TY - JOUR
T1 - The central role of conventional 12-lead ECG for the assessment of microvascular obstruction after percutaneous myocardial revascularization
AU - Infusino, Fabio
AU - Niccoli, Giampaolo
AU - Fracassi, Francesco
AU - Roberto, Marco
AU - Falcioni, Elena
AU - Lanza, Gaetano A.
AU - Crea, Filippo
PY - 2014/1
Y1 - 2014/1
N2 - 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.
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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U2 - 10.1016/j.jelectrocard.2013.10.002
DO - 10.1016/j.jelectrocard.2013.10.002
M3 - Article
C2 - 24290322
AN - SCOPUS:84891495833
VL - 47
SP - 45
EP - 51
JO - Journal of Electrocardiology
JF - Journal of Electrocardiology
SN - 0022-0736
IS - 1
ER -