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.

The central role of conventional 12-lead ECG for the assessment of microvascular obstruction after percutaneous myocardial revascularization / Infusino, Fabio; Niccoli, Giampaolo; Fracassi, Francesco; Roberto, Marco; Falcioni, Elena; Lanza, Gaetano Antonio; Crea, Filippo. - In: JOURNAL OF ELECTROCARDIOLOGY. - ISSN 0022-0736. - 47:1(2014), pp. 45-51. [10.1016/j.jelectrocard.2013.10.002]

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

Niccoli, Giampaolo;
2014-01-01

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.
2014
The central role of conventional 12-lead ECG for the assessment of microvascular obstruction after percutaneous myocardial revascularization / Infusino, Fabio; Niccoli, Giampaolo; Fracassi, Francesco; Roberto, Marco; Falcioni, Elena; Lanza, Gaetano Antonio; Crea, Filippo. - In: JOURNAL OF ELECTROCARDIOLOGY. - ISSN 0022-0736. - 47:1(2014), pp. 45-51. [10.1016/j.jelectrocard.2013.10.002]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2883909
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