title: [ST myocardial infarction with spontaneous coronary reperfusion].
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.
authors.affiliation: Cardiology Department, Assaf Harofeh Medical Center, Zerifin, Sackler Faculty of Medicine, Tel Aviv University, Israel. urielnir@gmail.com
authors.forename: Nir
authors.initials: N
authors.lastname: Uriel
authors.forename: Gil
authors.initials: G
authors.lastname: Moravsky
authors.forename: Alex
authors.initials: A
authors.lastname: Blatt
authors.forename: Zvi
authors.initials: Z
authors.lastname: Vered
authors.forename: Ricardo
authors.initials: R
authors.lastname: Krakover
authors.forename: Edo
authors.initials: E
authors.lastname: Kaluski
mesh_terms: D003326:Coronary Circulation; D003331:Coronary Vessels / Q000503:physiopathology; D004562:Electrocardiography; D006801:Humans; D009203:Myocardial Infarction / Q000503:physiopathology*; D015425:Myocardial Reperfusion