Suboptimal myocardial reperfusion persists in up to 60% of STEMI cases despite timely revascularization, highlighting the need for novel microvasculature-targeted therapies to prevent no-reflow.
This clinical consensus statement highlights the persistent challenge of coronary microvascular obstruction post-PCI in STEMI patients and summarizes current and emerging strategies for its management.
Although prompt primary percutaneous coronary intervention (PCI) reduces mortality in patients with ST-elevation myocardial infarction (STEMI), the burden of post-infarction heart failure remains considerable and is expected to increase. A major contributory factor is suboptimal myocardial reperfusion, which persists in up to 60% of cases even with timely revascularization. This is largely driven by microvascular obstruction and ischaemia-reperfusion injury, culminating in the no-reflow phenomenon, a critical prognostic factor associated with impaired infarct healing, adverse left ventricular remodelling, and increased risk of heart failure and death. No-reflow is a complex and heterogeneous phenomenon, identifiable through different invasive and noninvasive technologies. When observed post-PCI, after excluding residual epicardial stenosis, it indicates poor microvascular perfusion and necessitates urgent management. Identifying patients at high risk and implementing early targeted interventions are essential to improving outcomes. Pharmacological therapies, including intracoronary adenosine and nitroprusside, have shown unclear benefit in improving microvascular flow. Non-pharmacological strategies, such as ischaemic postconditioning, intracoronary supersaturated oxygen therapy, stent-retriever thrombectomy, and mechanical left ventricular unloading, have demonstrated promise but require further validation in large-scale clinical trials. This clinical consensus statement summarizes current strategies for the prevention and treatment of no-reflow and underscores the need for improved risk stratification and novel microvasculature-targeted therapies. Addressing this persistent and significant unmet clinical need is crucial for improving care for STEMI patients and for mitigating its long-term complications, including heart failure and mortality.
A comprehensive consensus statement from major European cardiology groups on coronary microvascular obstruction, a critical but often overlooked aspect of coronary intervention.
Cenko et al. (Fri,) conducted a review in ST-elevation myocardial infarction (STEMI) with coronary microvascular obstruction. Suboptimal myocardial reperfusion persists in up to 60% of STEMI cases despite timely revascularization, highlighting the need for novel microvasculature-targeted therapies to prevent no-reflow.