TY - JOUR
T1 - The central role of conventional 12-lead ECG for the assessment of microvascular obstruction after percutaneous myocardial revascularization
AU - Infusino, Fabio
AU - Niccoli, Giampaolo
AU - Fracassi, Francesco
AU - Roberto, Marco
AU - Falcioni, Elena
AU - Lanza, Gaetano Antonio
AU - Crea, Filippo
PY - 2014
Y1 - 2014
N2 - Guidelines report that the optimal treatment for ST-elevation myocardial infarction (STEMI) is a primary percutaneous coronary intervention (PPCI) when performed timely by trained operators. Yet, the reopening of the infarct-related artery (IRA) is not always followed by myocardial reperfusion. This phenomenon is most commonly called "no-reflow", is caused by microvascular obstruction (MVO) and is associated to a worse outcome. Electrocardiogram (ECG) is crucial for the diagnosis of STEMI, but is also useful for the assessment of MVO. In this review we summarize ECG-derived parameters associated to MVO and their prognostic relevance.
AB - Guidelines report that the optimal treatment for ST-elevation myocardial infarction (STEMI) is a primary percutaneous coronary intervention (PPCI) when performed timely by trained operators. Yet, the reopening of the infarct-related artery (IRA) is not always followed by myocardial reperfusion. This phenomenon is most commonly called "no-reflow", is caused by microvascular obstruction (MVO) and is associated to a worse outcome. Electrocardiogram (ECG) is crucial for the diagnosis of STEMI, but is also useful for the assessment of MVO. In this review we summarize ECG-derived parameters associated to MVO and their prognostic relevance.
KW - Acute myocardial infarction
KW - CMR
KW - ECG
KW - Electrocardiogram
KW - HRT
KW - HRV
KW - IRA
KW - MBG
KW - MCE
KW - MVO
KW - Microvascular obstruction
KW - PPCI
KW - PTCA
KW - ST segment elevation
KW - ST segment elevation myocardial infarction
KW - ST segment elevation resolution
KW - STE
KW - STEMI
KW - STER
KW - STR
KW - TIMI
KW - Thrombolysis In Myocardial Infarction
KW - cardiovascular magnetic resonance
KW - electrocardiogram
KW - heart rate turbulence
KW - heart rate variability
KW - infarct-related artery
KW - microvascular obstruction
KW - myocardial blush grade
KW - myocardial contrast echocardiography
KW - percutaneous transluminal coronary angioplasty
KW - primary percutaneous coronary intervention
KW - rate of ST segment elevation resolution
KW - Acute myocardial infarction
KW - CMR
KW - ECG
KW - Electrocardiogram
KW - HRT
KW - HRV
KW - IRA
KW - MBG
KW - MCE
KW - MVO
KW - Microvascular obstruction
KW - PPCI
KW - PTCA
KW - ST segment elevation
KW - ST segment elevation myocardial infarction
KW - ST segment elevation resolution
KW - STE
KW - STEMI
KW - STER
KW - STR
KW - TIMI
KW - Thrombolysis In Myocardial Infarction
KW - cardiovascular magnetic resonance
KW - electrocardiogram
KW - heart rate turbulence
KW - heart rate variability
KW - infarct-related artery
KW - microvascular obstruction
KW - myocardial blush grade
KW - myocardial contrast echocardiography
KW - percutaneous transluminal coronary angioplasty
KW - primary percutaneous coronary intervention
KW - rate of ST segment elevation resolution
UR - http://hdl.handle.net/10807/52103
U2 - 10.1016/j.jelectrocard.2013.10.002
DO - 10.1016/j.jelectrocard.2013.10.002
M3 - Article
SN - 1532-8430
VL - 47
SP - 45
EP - 51
JO - Journal of Electrocardiology
JF - Journal of Electrocardiology
ER -