ST myocardial infarction with spontaneous coronary reperfusion

Nir Uriel*, Gil Moravsky, Alex Blatt, Zvi Vered, Ricardo Krakover, Edo Kaluski

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

ST elevation myocardial infarction continues to be a major medical problem even in the beginning of the 21st century. Treatment guidelines for these patients are based on multiple randomized clinical trials. In order to minimize myocardial damage, early patency of the infarct relating artery must be accomplished. This is the major difference in the treatment strategy between ST elevation myocardial infarction and other acute coronary syndromes. Primary percutaneous coronary intervention and fibrinolysis are the two treatment modalities for achieving myocardial reperfusion. The subgroup of ST elevation myocardial infarction with spontaneous coronary artery reperfusion carries a more favorable prognosis. This review addresses the clinical characteristics, natural history, prognosis and treatment strategies for this group, with special emphasis on the optimal timing for revascularization, and the role of glycoprotein IIb/IIIa inhibitors.

Original languageEnglish
Pages (from-to)367-370
Number of pages4
JournalHarefuah
Volume145
Issue number5 SPEC. ISS.
StatePublished - May 2006

Keywords

  • Glycoprotein IIb/IIIa inhibitors
  • Myocardial Infarction
  • Primary percutaneous coronary intervention (primary PCI)
  • Spontaneous coronary artery reperfusion
  • TIMI

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