Abstract
Microcirculatory function and left ventricular recovery after STEMI, exploring the hidden territories
Highlights
The virtues of direct mechanical coronary revascularisation after acute thrombotic occlusion are well documented
This notion has opened a new potential therapeutic window since if we could identify the patients that are at risk early, we could think of early adjunctive therapies after primary PCI
This group previously showed a direct relation between left ventricular recovery and coronary flow velocity reserve, as measured either directly or in the first week after AMI [4, 5]
Summary
The virtues of direct mechanical coronary revascularisation after acute thrombotic occlusion are well documented. Despite the approximate 95 % angiographic success rate (TIMI-3 flow), the majority of patients will be left with scarred myocardium, exposing them to increased risk to develop heart failure. This notion has opened a new potential therapeutic window since if we could identify the patients that are at risk early, we could think of early adjunctive therapies after primary PCI.
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