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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...

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Detalles Bibliográficos
Autores principales: Albistur, Sebastian, Torrado, Juan, Niell, Nicolás, Mila, Rafael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
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.
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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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