Optimal reperfusion in ST-elevation myocardial infarction - the role of the coronary microcirculation
Author(s) -
Florim Cuculi,
AR de Caterina,
Rajesh Kharbanda,
Adrian Banning
Publication year - 2011
Publication title -
schweizerische medizinische wochenschrift
Language(s) - English
Resource type - Journals
ISSN - 0036-7672
DOI - 10.4414/smw.2011.13313
Subject(s) - medicine , timi , thrombolysis , microcirculation , cardiology , myocardial infarction , myocardial reperfusion , reperfusion therapy , blood flow
Coronary microcirculation plays a crucial role for the outcomes of patients with STEMI. Although PPCI improves outcomes compared to thrombolysis, a substantial amount of STEMI patients do not achieve optimal myocardial reperfusion. Angiographic methods for assessment of reperfusion like TIMI Flow and MBG are easy to use but new, catheter laboratory based techniques to assess reperfusion have a lot of potential to assess and potentially guide management of patients with STEMI
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