| Title | The central role of conventional 12-lead ECG for the assessment of microvascular obstruction after percutaneous myocardial revascularization. | ||
| Author | Infusino, Fabio; Niccoli, Giampaolo; Fracassi, Francesco; Roberto, Marco; Falcioni, Elena; Lanza, Gaetano A; Crea, Filippo | ||
| Journal | J Electrocardiol | Publication Year/Month | 2014-Jan-Feb |
| PMID | 24290322 | PMCID | -N/A- |
| Affiliation + expend | 1.Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy. | ||
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.