The Clinical Value of no-Reflow Phenomenon in the Routing Operation of The Regional Vascular Center-Reference-Cited by-同舟云学术

The Clinical Value of no-Reflow Phenomenon in the Routing Operation of The Regional Vascular Center

Published:2020-05-04 Issue:4 Volume:60 Page:146-150
ISSN:2412-5660
Container-title:Kardiologiia
language:
Short-container-title:Kardiologiia

Author:

Konstantinova E. V.¹^ORCID,Muksinova M. D.²^ORCID,Gilyarov M. Yu.³^ORCID,Udovichenko A. E.⁴^ORCID,Kuzmina E. V.⁵^ORCID,Svet A. V.⁶^ORCID

Affiliation:

1. N.I. Pirogov Russian National Research Medical University; N.I. Pirogov City Clinical Hospital №1,

2. A.L. Myasnikov Institute of Clinical Cardiology, National Medical Research Center

3. N.I. Pirogov City Clinical Hospital №1, Moscow Healthcare Department; N.I. Pirogov Russian National Research Medical University;Sechenov First Moscow State Medical University

4. N.I. Pirogov City Clinical Hospital №1, Moscow Healthcare Department; N.I. Pirogov Russian National Research Medical University; Sechenov First Moscow State Medical University

5. N.I. Pirogov Russian National Research Medical University;

6. N.I. Pirogov City Clinical Hospital №1, Moscow Healthcare Department; Sechenov First Moscow State Medical University

Abstract

Coronary no-reflow phenomenon (CNR) is a complication of primary percutaneous coronary intervention (PCI). According to different reports, CNR occurs in 10 to 60 % of cases. Despite the long history of studying this phenomenon many issues remain unsolved. This article presents a clinical case of electrocardiographically confirmed ST-segment elevation myocardial infarction. In this case, the CNR phenomenon occurred during PCI and was associated with heart rhythm disorders, left ventricular (LV) cavity dilatation with a decrease in LV contractility, and formation of intracavitary thrombus. The patient asked for medical care late, which could influence the development of CNR. This case demonstrates the clinical significance, diagnostic characteristics, and successful drug correction of the no-reflow phenomenon.

Publisher

APO Society of Specialists in Heart Failure

Subject

Cardiology and Cardiovascular Medicine