Abstract
We have read with great interest the recently published article by Abdi et al. entitled evaluation of the clinical and procedural predictive factors of no-reflow phenomenon Following Primary Percutaneous coronary intervention (1). In this well-designed article, the authors evaluated clinical predictors of the no-reflow phenomenon after primary percutaneous coronary intervention (pPCI) in 438 patients with acute ST segment elevation myocardial infarction (STEMI). In that study, they found that the white blood cell (WBC) count and thrombus grade are strong, independent predictive factors of developing the no-reflow phenomenon in STEMI patients undergoing pPCI. There is also an association between the no-reflow phenomenon and pain duration, maximal ST-change, left ventricle function, high sensitivity C-reactive protein (hs-CRP), bifurcation, eccentricity, and coronary anatomy.
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