title: Coronary microcirculation and reperfusion failure. Do we know what diagnostic tools we have?
abstract: Almost one in five patient has reperfusion abnormalities despite the type of percutaneous interventional procedure after acute myocardial infarction. It has been shown with myocardial contrast echocardiographic and coronary angiographic studies that infarct related artery patency does not always correlate with the presence of adequate myocardial perfusion in the infarct related artery territory. Therefore, it is necessary to obtain further diagnostic and evaluation tools to assess coronary microcirculation and reperfusion failure. ST segment resolution time, TIMI flow grade, TIMI Frame Count and TIMI Myocardial Perfusion Grade (blush score) are helpful tools to assess myocardial perfusion and diagnosis of reperfusion abnormalities.
authors.affiliation: Dep. of Hemodynamics and Angiocardiography, Institute of Cardiology, CM, JU Pradnicka 80, 31202 Kraków. caferz@szpitaljp2.krakow.pl
authors.forename: Cafer
authors.initials: C
authors.lastname: Zorkun
authors.forename: Krzystztof
authors.initials: K
authors.lastname: Zmudka
authors.forename: Dariusz
authors.initials: D
authors.lastname: Dudek
authors.forename: Tadeusz
authors.initials: T
authors.lastname: Przewłocki
authors.forename: Jarosław
authors.initials: J
authors.lastname: Trebacz
authors.forename: Piotr
authors.initials: P
authors.lastname: Musiałek
authors.forename: Piotr
authors.initials: P
authors.lastname: Pieniazek
authors.forename: Jarosław
authors.initials: J
authors.lastname: Zalewski
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Gajos
authors.forename: Jacek
authors.initials: J
authors.lastname: Legutko
authors.forename: Bogusław
authors.initials: B
authors.lastname: Kapelak
authors.forename: Piotr
authors.initials: P
authors.lastname: Podolec
authors.forename: Mieczysław
authors.initials: M
authors.lastname: Pasowicz
authors.forename: Jerzy
authors.initials: J
authors.lastname: Sadowski
authors.forename: Jacek
authors.initials: J
authors.lastname: Dubiel
authors.forename: Wiesław
authors.initials: W
authors.lastname: Pawlik
mesh_terms: D006801:Humans; D008833:Microcirculation / Q000502:physiology; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000503:physiopathology* / Q000628:therapy; D015425:Myocardial Reperfusion / Q000379:methods*; D012307:Risk Factors; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D017211:Treatment Failure