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A Narrative Review of the Classical and Modern Diagnostic Methods of the No-Reflow Phenomenon

The incidence of the no-reflow (NR) phenomenon varies depending on the diagnostic criteria used. If just the angiographic criteria are considered (i.e., a degree of thrombolysis in myocardial infarction ≤2), it will be found that the incidence of NR is quite low; on the other hand, when the myocardi...

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Autores principales: Pantea-Roșan, Larisa Renata, Bungau, Simona Gabriela, Radu, Andrei-Flavius, Pantea, Vlad Alin, Moisi, Mădălina Ioana, Vesa, Cosmin Mihai, Behl, Tapan, Nechifor, Aurelia Cristina, Babes, Elena Emilia, Stoicescu, Manuela, Gitea, Daniela, Iovanovici, Diana Carina, Bustea, Cristiana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9029120/
https://www.ncbi.nlm.nih.gov/pubmed/35453980
http://dx.doi.org/10.3390/diagnostics12040932
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author Pantea-Roșan, Larisa Renata
Bungau, Simona Gabriela
Radu, Andrei-Flavius
Pantea, Vlad Alin
Moisi, Mădălina Ioana
Vesa, Cosmin Mihai
Behl, Tapan
Nechifor, Aurelia Cristina
Babes, Elena Emilia
Stoicescu, Manuela
Gitea, Daniela
Iovanovici, Diana Carina
Bustea, Cristiana
author_facet Pantea-Roșan, Larisa Renata
Bungau, Simona Gabriela
Radu, Andrei-Flavius
Pantea, Vlad Alin
Moisi, Mădălina Ioana
Vesa, Cosmin Mihai
Behl, Tapan
Nechifor, Aurelia Cristina
Babes, Elena Emilia
Stoicescu, Manuela
Gitea, Daniela
Iovanovici, Diana Carina
Bustea, Cristiana
author_sort Pantea-Roșan, Larisa Renata
collection PubMed
description The incidence of the no-reflow (NR) phenomenon varies depending on the diagnostic criteria used. If just the angiographic criteria are considered (i.e., a degree of thrombolysis in myocardial infarction ≤2), it will be found that the incidence of NR is quite low; on the other hand, when the myocardial NR is taken into account (i.e., a decrease in the quality of myocardial reperfusion expressed by the degree of myocardial blush), the real incidence is higher. Thus, the early establishment of a diagnosis of NR and the administration of specific treatment can lead to its reversibility. Otherwise, regardless of the follow-up period, patients with NR have a poor prognosis. In the present work, we offer a comprehensive perspective on diagnostic tools for NR detection, for improving the global management of patients with arterial microvasculature damage, which is a topic of major interest in the cardiology field, due to its complexity and its link with severe clinical outcomes.
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spelling pubmed-90291202022-04-23 A Narrative Review of the Classical and Modern Diagnostic Methods of the No-Reflow Phenomenon Pantea-Roșan, Larisa Renata Bungau, Simona Gabriela Radu, Andrei-Flavius Pantea, Vlad Alin Moisi, Mădălina Ioana Vesa, Cosmin Mihai Behl, Tapan Nechifor, Aurelia Cristina Babes, Elena Emilia Stoicescu, Manuela Gitea, Daniela Iovanovici, Diana Carina Bustea, Cristiana Diagnostics (Basel) Review The incidence of the no-reflow (NR) phenomenon varies depending on the diagnostic criteria used. If just the angiographic criteria are considered (i.e., a degree of thrombolysis in myocardial infarction ≤2), it will be found that the incidence of NR is quite low; on the other hand, when the myocardial NR is taken into account (i.e., a decrease in the quality of myocardial reperfusion expressed by the degree of myocardial blush), the real incidence is higher. Thus, the early establishment of a diagnosis of NR and the administration of specific treatment can lead to its reversibility. Otherwise, regardless of the follow-up period, patients with NR have a poor prognosis. In the present work, we offer a comprehensive perspective on diagnostic tools for NR detection, for improving the global management of patients with arterial microvasculature damage, which is a topic of major interest in the cardiology field, due to its complexity and its link with severe clinical outcomes. MDPI 2022-04-08 /pmc/articles/PMC9029120/ /pubmed/35453980 http://dx.doi.org/10.3390/diagnostics12040932 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Pantea-Roșan, Larisa Renata
Bungau, Simona Gabriela
Radu, Andrei-Flavius
Pantea, Vlad Alin
Moisi, Mădălina Ioana
Vesa, Cosmin Mihai
Behl, Tapan
Nechifor, Aurelia Cristina
Babes, Elena Emilia
Stoicescu, Manuela
Gitea, Daniela
Iovanovici, Diana Carina
Bustea, Cristiana
A Narrative Review of the Classical and Modern Diagnostic Methods of the No-Reflow Phenomenon
title A Narrative Review of the Classical and Modern Diagnostic Methods of the No-Reflow Phenomenon
title_full A Narrative Review of the Classical and Modern Diagnostic Methods of the No-Reflow Phenomenon
title_fullStr A Narrative Review of the Classical and Modern Diagnostic Methods of the No-Reflow Phenomenon
title_full_unstemmed A Narrative Review of the Classical and Modern Diagnostic Methods of the No-Reflow Phenomenon
title_short A Narrative Review of the Classical and Modern Diagnostic Methods of the No-Reflow Phenomenon
title_sort narrative review of the classical and modern diagnostic methods of the no-reflow phenomenon
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9029120/
https://www.ncbi.nlm.nih.gov/pubmed/35453980
http://dx.doi.org/10.3390/diagnostics12040932
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