The central role of conventional 12-lead ECG for the assessment of microvascular obstruction after percutaneous myocardial revascularization.
J Electrocardiol
; 47(1): 45-51, 2014.
Article
en En
| MEDLINE
| ID: mdl-24290322
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.
Palabras clave
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
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Estenosis Coronaria
/
Electrocardiografía
/
Intervención Coronaria Percutánea
/
Infarto del Miocardio
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
J Electrocardiol
Año:
2014
Tipo del documento:
Article
País de afiliación:
Italia