The central role of conventional 12-lead ECG for the assessment of microvascular obstruction after percutaneous myocardial revascularization

Gaetano Antonio Lanza, Filippo Crea, Fabio Infusino, Giampaolo Niccoli, Francesco Fracassi

Risultato della ricerca: Contributo in rivistaArticolo in rivista

12 Citazioni (Scopus)

Abstract

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.
Lingua originaleEnglish
pagine (da-a)45-51
Numero di pagine7
RivistaJournal of Electrocardiology
Volume47
DOI
Stato di pubblicazionePubblicato - 2014

Keywords

  • Acute myocardial infarction
  • CMR
  • ECG
  • Electrocardiogram
  • HRT
  • HRV
  • IRA
  • MBG
  • MCE
  • MVO
  • Microvascular obstruction
  • PPCI
  • PTCA
  • ST segment elevation
  • ST segment elevation myocardial infarction
  • ST segment elevation resolution
  • STE
  • STEMI
  • STER
  • STR
  • TIMI
  • Thrombolysis In Myocardial Infarction
  • cardiovascular magnetic resonance
  • electrocardiogram
  • heart rate turbulence
  • heart rate variability
  • infarct-related artery
  • microvascular obstruction
  • myocardial blush grade
  • myocardial contrast echocardiography
  • percutaneous transluminal coronary angioplasty
  • primary percutaneous coronary intervention
  • rate of ST segment elevation resolution

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