Arq. Bras. Cardiol. 2021; 116(3): 473-474
Angiographic Scores in Prediction of No-Reflow, Myocardial Injury May not end with Reperfusion
Adriano Ossuna Tamazato, Thais Chang Valente Tamazato
, Cristiano Guedes Bezerra
This Short Editorial is referred by the Research article "Gensini Score and Thrombus Burden Add Predictive Value to the SYNTAX Score in Detecting No-Reflow after Myocardial Infarction".
The ST segment elevation infarction (STEMI) is usually precipitated by the rupture or erosion of an atherosclerotic plaque and the consequent formation of an occlusive thrombus. Early percutaneous coronary intervention is the treatment of choice for providing a more complete revascularization and less bleeding complications when compared to fibrinolysis.,
In the last decades, we observed a substantial development in the pharmacological and invasive treatments of STEMI, which significantly reduced early mortality. Several variables affect clinical outcomes, including patient age, time to reperfusion, angiographic complexity and the occurrence or not of the no-reflow (NR) phenomenon during percutaneous intervention., NR is defined by inadequate myocardial perfusion in a given territory, in the absence of mechanical obstruction of the epicardial coronary and is associated with a worse clinical prognosis.,
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