Abstract

The primary goal of treatment for myocardial infarction with ST-segment elevation (STEMI) is the early restoration of coronary blood flow. However, the restoration of the pathogenesis of the epicardial coronary artery during primary coronary intervention (PPVC) is not always accompanied by normalization of myocardial perfusion, that may be associated with microvascular obstruction and the lack of fusion phenomenon, developing, in particular, due to its long duration of intracoronary thrombus and open distal embolism during PCP. The article is devoted to a review of literature data on predictors of the development of the no-reflow phenomenon and its prevention.

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