Coronary Microcirculation: The Next Frontier in the Management of STEMI.

ABSTRACT: Although the widespread adoption of timely invasive reperfusion strategies over the last two decades has significantly improved the prognosis of patients with ST-segment elevation myocardial infarction (STEMI), up to half of patients after angiographically successful primary percutaneous coronary intervention (PCI) still have signs of inadequate reperfusion at the level of coronary microcirculation. This phenomenon, termed coronary microvascular dysfunction (CMD), has been associated with impaired prognosis. The aim of the present review is to describe the collected evidence on the occurrence of CMD following primary PCI, means of assessment and its association with the infarct size and clinical outcomes. Therefore, the practical role of invasive assessment of CMD in the catheterization la

SUBMITTER: Milasinovic D 

PROVIDER: S-EPMC9962942 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature