Incidence and Associated Factors of No-reflow Phenomenon in STEMI Patients Treated with Primary PCI

Abdolatif Amini, Mohammad hasan Namazi, Morteza Safi, Habibollah Saadat, Hossein Vakili, Afsaneh Mohammadi
2010 Iranian South Medical Journal  
Primary percutaneous angioplasty is a modality of choice to restore reperfusion in infarct related artery now. No-reflow phenomenon is a complication of this modality that increase mortality and morbidity of patients. Assessment of its associated and predictor factors may be useful to its prevention. Methods: All patients with ST elevation myocardial infarction (STEMI) who treated with primary percutaneous angioplasty during 30 months were enrolled to the study.Then patients with and without
more » ... with and without no-reflow phenomenon assigned to two groups and statistical analysis was performed. Results: Twenty one cases of no-reflow were found in total 263 cases of primary PCI (7.9%). Mean age and prevalence of risk factors such as diabetes mellitus, smoking, hypertension and hyperlipidemia wasn't different in two groups. No- reflow was observed more frequently in females (P<0.01). Mean symptom to balloon time was longer in No-reflow group (P <0.01). Patients with no- reflow phenomenon have more cardiogenic shock, less predischarge ejection fraction, more inhaspital mortality, longer stent length, more LAD as infarct related artery and more use of thrombectomy( p value
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