Volume 2, Issue 3, September 2018, Page: 68-74
Predictors of no-Reflow in Patients with ST-Segment Elevation Acute Myocardial Infarction after Primary Percutaneous Coronary Intervention
Mohammed Ismail Ali, Cardiology Department, 6 October Hospital, General Health Insurance, Giza, Egypt
Wala Farid Abd El-Aziz, Cardiology Department, Menoufia University, Menoufia, Egypt
Adel Imam Abd El-Magid, Cardiology Department, National Heart Institute, Giza, Egypt
Neveen Ibrahim Samy, Cardiology Department, Menoufia University, Menoufia, Egypt
Received: Aug. 28, 2018;       Accepted: Oct. 15, 2018;       Published: Nov. 5, 2018
DOI: 10.11648/j.ccr.20180203.15      View  112      Downloads  6
Abstract
Background: Primary percutaneous coronary intervention (PCI) is the preferred method of ST-segment elevation acute myocardial infarction (STEMI) management but no-reflow phenomenon is one of its major complications that affects patient's outcome. Objective: Identification of possible clinical, angiographic and procedural predictors for no-reflow in patients with AMI after primary percutaneous coronary intervention (PCI). Methods: A total of hundred patients with AMI who had been treated by primary PCI at the National heart institute (NHI) and cardiology department, Menoufia University hospital were enrolled in this study, according to thrombolysis in myocardial infarction (TIMI) flow grade, patients were divided into a reflow group (TIMI 3) and a no-reflow group (TIMI ≤ 2). The clinical, angiographic and procedural data were compared between both groups. Discussion: Sixteen patients (16%) developed no-reflow phenomenon after primary PCI. Statistical analysis showed that time from onset to reperfusion, low initial TIMI flow grade, high thrombus burden, long lesion length and large reference luminal diameter were correlated with no-reflow (P < 0.05 for all) and were considered to be independent predictors of no-reflow. Conclusion: The occurrence of no-reflow after primary PCI for acute myocardial infarction can be predicted by certain clinical, angiographic and procedural features.
Keywords
Acute Myocardial Infarction, Primary Percutaneous Coronary Intervention, No-Reflow, Coronary Thrombosis
To cite this article
Mohammed Ismail Ali, Wala Farid Abd El-Aziz, Adel Imam Abd El-Magid, Neveen Ibrahim Samy, Predictors of no-Reflow in Patients with ST-Segment Elevation Acute Myocardial Infarction after Primary Percutaneous Coronary Intervention, Cardiology and Cardiovascular Research. Vol. 2, No. 3, 2018, pp. 68-74. doi: 10.11648/j.ccr.20180203.15
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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