J. Clin. Med., Volume 9, Issue 1 (January 2020) – 287 articles
Cover Story (view full-size image): Microvascular obstruction (MVO) following successful restoration of epicardial vessel flow is a significant predictor of left ventricular functional impairment and adverse cardiovascular outcomes. As a result of MVO and other forms of reperfusion injury, prompt primary percutaneous coronary intervention in ST-segment elevation myocardial infarction (STEMI) has not resulted in the anticipated improvement in morbidity and mortality. The importance of microcirculatory dysfunction and obstruction following acute myocardial infarction has meant that traditional angiographic techniques are inferior to physiologic measurement tools in predicting consequences. Here we will discuss the role and performance of invasive evaluation of the microcirculation following acute myocardial infarction. View this paper
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