Abstract
Coronary no-reflow is a significant complication following primary percutaneous coronary intervention (PCI) in patients with acute myocardial infarction. This phenomenon involves inadequate myocardial perfusion despite successful vessel recanalization, attributed to factors such as microvascular injury, inflammation, thrombus embolization, and vasospasm. Effective management strategies include pharmacological agents, mechanical interventions, and optimized antithrombotic therapy. Prompt diagnosis and treatment are essential to enhance patient outcomes and reduce adverse effects associated with this condition.
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