Introduction
ST-segment elevation acute myocardial infarction, CMD, thrombotic
PATHOGENESIS
Prompt revascularization with primary percutaneous coronary intervention (PCI) of the occluded epicardial coronary artery is the standard of care for patients with ST-segment elevation acute myocardial infarction (STEMI)CMD is a term used to describe a range of anatomical and functional changes within the coronary microcirculation that reduce coronary blood flow to cardiomyocytes and result in myocardial ischemiaThe pathogenesis of CMD following revascularization in STEMI patients remains unclear. Recent hypotheses have linked CMD to distal embolization of thrombotic debris following mechanical fragmentation of the occlusion during pre-dilatationThe purpose of this research was to determine whether there is a correlation between the technique of primary PCI used and the prevalence of CMD after reperfusion.