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Microvascular dysfunction following deferred stenting strategy in ST-segment elevation myocardial infarction: a case report
BACKGROUND: ST-segment elevation myocardial infarction (STEMI) has traditionally been managed with immediate reperfusion of the culprit artery, primarily through percutaneous coronary intervention and stent placement. Emerging data are highlighting the crucial importance of post-infarct microcircula...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686532/ https://www.ncbi.nlm.nih.gov/pubmed/38034941 http://dx.doi.org/10.1093/ehjcr/ytad564 |
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author | Albistur, Sebastian Torrado, Juan Niell, Nicolás Mila, Rafael |
author_facet | Albistur, Sebastian Torrado, Juan Niell, Nicolás Mila, Rafael |
author_sort | Albistur, Sebastian |
collection | PubMed |
description | BACKGROUND: ST-segment elevation myocardial infarction (STEMI) has traditionally been managed with immediate reperfusion of the culprit artery, primarily through percutaneous coronary intervention and stent placement. Emerging data are highlighting the crucial importance of post-infarct microcirculatory function assessment. CASE SUMMARY: This report presents a patient with an inferior STEMI who was successfully reperfused without stent implantation. Tools such as optical coherence tomography, fractional flow reserve, and positron emission tomography computed tomography N-13 ammonia were utilized, offering comprehensive insights into the anatomical and functional characteristics of both the epicardial vessel and microcirculation. DISCUSSION: The recovery of the reversible component of microcirculatory dysfunction, observable as early as 5 days post-infarction, might carry significant implications for clinical decision-making. Such insights can potentially influence contemporary treatment strategies, including the consideration of deferred stenting. This case underscores the significance of post-infarct microcirculatory function and its potential impact on therapeutic approaches. |
format | Online Article Text |
id | pubmed-10686532 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-106865322023-11-30 Microvascular dysfunction following deferred stenting strategy in ST-segment elevation myocardial infarction: a case report Albistur, Sebastian Torrado, Juan Niell, Nicolás Mila, Rafael Eur Heart J Case Rep Case Report BACKGROUND: ST-segment elevation myocardial infarction (STEMI) has traditionally been managed with immediate reperfusion of the culprit artery, primarily through percutaneous coronary intervention and stent placement. Emerging data are highlighting the crucial importance of post-infarct microcirculatory function assessment. CASE SUMMARY: This report presents a patient with an inferior STEMI who was successfully reperfused without stent implantation. Tools such as optical coherence tomography, fractional flow reserve, and positron emission tomography computed tomography N-13 ammonia were utilized, offering comprehensive insights into the anatomical and functional characteristics of both the epicardial vessel and microcirculation. DISCUSSION: The recovery of the reversible component of microcirculatory dysfunction, observable as early as 5 days post-infarction, might carry significant implications for clinical decision-making. Such insights can potentially influence contemporary treatment strategies, including the consideration of deferred stenting. This case underscores the significance of post-infarct microcirculatory function and its potential impact on therapeutic approaches. Oxford University Press 2023-11-14 /pmc/articles/PMC10686532/ /pubmed/38034941 http://dx.doi.org/10.1093/ehjcr/ytad564 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Albistur, Sebastian Torrado, Juan Niell, Nicolás Mila, Rafael Microvascular dysfunction following deferred stenting strategy in ST-segment elevation myocardial infarction: a case report |
title | Microvascular dysfunction following deferred stenting strategy in ST-segment elevation myocardial infarction: a case report |
title_full | Microvascular dysfunction following deferred stenting strategy in ST-segment elevation myocardial infarction: a case report |
title_fullStr | Microvascular dysfunction following deferred stenting strategy in ST-segment elevation myocardial infarction: a case report |
title_full_unstemmed | Microvascular dysfunction following deferred stenting strategy in ST-segment elevation myocardial infarction: a case report |
title_short | Microvascular dysfunction following deferred stenting strategy in ST-segment elevation myocardial infarction: a case report |
title_sort | microvascular dysfunction following deferred stenting strategy in st-segment elevation myocardial infarction: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686532/ https://www.ncbi.nlm.nih.gov/pubmed/38034941 http://dx.doi.org/10.1093/ehjcr/ytad564 |
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