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Published Online First: 10 April 2006. doi:10.1136/hrt.2006.088427
Heart 2006;92:1191-1193
Copyright © 2006 BMJ Publishing Group Ltd & British Cardiovascular Society

EDITORIAL

The role of vasodilators in the prevention and treatment of no-reflow following percutaneous coronary intervention

S A Harding

Correspondence to:
Dr Scott Harding
Department of Cardiology, Wellington Hospital, Private Bag 7902, Wellington, New Zealand; scott.harding{at}ccdhb.org.nz

ABSTRACT

The routine use of vasodilators in patients with acute coronary syndromes or other groups undergoing percutaneous coronary intervention (PCI) cannot be recommended at present. However, in the event of no-reflow occurring following PCI, intracoronary adenosine or verapamil should be administered

Abbreviations: AMISTAD, Acute Myocardial Infarction STudy of Adenosine; PCI, percutaneous coronary intervention; SVG, saphenous vein graft; TIMI, Thrombolysis in Myocardial Infarction

Keywords: no-reflow; vasodilators; adenosine; verapamil


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