Comparative Prognostic Utility of Indexes of Microvascular Function Alone or in Combination in Patients With an Acute ST-Segment–Elevation Myocardial Infarction
Author(s) -
David Carrick,
Caroline Haig,
Nadeem Ahmed,
Jaclyn Carberry,
Vannesa Teng Yue May,
Margaret McEntegart,
Mark C. Petrie,
Hany Eteiba,
Mitchell Lindsay,
Stuart Hood,
Stuart Watkins,
Andrew Davie,
Ahmed Mahrous,
Ify Mordi,
Ian Ford,
Aleksandra Radjenovic,
Keith G. Oldroyd,
Colin Berry
Publication year - 2016
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.116.022603
Subject(s) - medicine , cardiology , myocardial infarction , elevation (ballistics) , mathematics , geometry
Primary percutaneous coronary intervention is frequently successful at restoring coronary artery blood flow in patients with acute ST-segment-elevation myocardial infarction; however, failed myocardial reperfusion commonly passes undetected in up to half of these patients. The index of microvascular resistance (IMR) is a novel invasive measure of coronary microvascular function. We aimed to investigate the pathological and prognostic significance of an IMR>40, alone or in combination with a coronary flow reserve (CFR≤2.0), in the culprit artery after emergency percutaneous coronary intervention for acute ST-segment-elevation myocardial infarction.
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