Optimal reperfusion in ST-elevation myocardial infarction - the role of the coronary microcirculation

被引：11
|
作者：
Cuculi, Florim [1 ]
De Caterina, Alberto R. [1 ]
Kharbanda, Rajesh K. [1 ]
Banning, Adrian P. [1 ]
机构：
[1] Oxford Univ Hosp, Oxford Heart Ctr, Oxford, England
来源：
SWISS MEDICAL WEEKLY | 2011年 / 141卷
关键词：
coronary microcirculation; coronary flow reserve; index of microcirculatory resistance; ST-elevation; myocardial infarction; STEMI; preconditioning; ST-resolution; reperfusion; IIB-IIIA INHIBITORS; PRIMARY ANGIOPLASTY; MAGNETIC-RESONANCE; SEGMENT-ELEVATION; MICROVASCULAR OBSTRUCTION; NO-REFLOW; CONTRAST ECHOCARDIOGRAPHY; RANDOMIZED-TRIALS; INTRACORONARY ADENOSINE; PROGNOSTIC-SIGNIFICANCE;
D O I：
10.4414/smw.2011.13313
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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.
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页数：10
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