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

Research output: Contribution to journalArticlepeer-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 languageEnglish
Pages (from-to)45-51
Number of pages7
JournalJournal of Electrocardiology
Volume47
Issue number1
DOIs
Publication statusPublished - Jan 2014

Keywords

  • Acute myocardial infarction
  • Electrocardiogram
  • Microvascular obstruction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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