Abstract
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.
Highlights
ST-elevation myocardial infarction (STEMI) results from occlusion of a major epicardial artery leading to myocardial ischemia and cell death [1]
Coronary microcirculation plays a crucial role for the outcomes of patients with STEMI
primary percutaneous coronary intervention (PPCI) improves outcomes compared to thrombolysis, a substantial amount of STEMI patients do not achieve optimal myocardial reperfusion
Summary
Coronary microcirculation plays a crucial role for the outcomes of patients with STEMI. 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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