Achieving tissue-level perfusion in the setting of acute myocardial infarction

Am J Cardiol. 2000 Apr 27;85(8A):39C-46C. doi: 10.1016/s0002-9149(00)00818-3.

Abstract

Treatment for ST-elevation myocardial infarction (MI) has advanced rapidly in the last few years with improvements in early fibrinolytic therapy, primary percutaneous revascularization, and use of potent platelet glycoprotein IIb/IIIa inhibitors. It is now obvious that establishing epicardial patency after myocardial infarction is not synonymous with tissue-level perfusion. Techniques and therapies are now available that measure true tissue-level perfusion and that may improve tissue-level perfusion after myocardial infarction.

Publication types

  • Review

MeSH terms

  • Abciximab
  • Animals
  • Antibodies, Monoclonal / therapeutic use
  • Coronary Thrombosis / physiopathology
  • Heart / physiopathology
  • Humans
  • Immunoglobulin Fab Fragments / therapeutic use
  • Myocardial Infarction / drug therapy*
  • Myocardial Infarction / physiopathology*
  • Myocardial Reperfusion Injury / physiopathology
  • Myocardial Reperfusion*
  • Platelet Aggregation / physiology
  • Platelet Aggregation Inhibitors / therapeutic use
  • Platelet Glycoprotein GPIIb-IIIa Complex / therapeutic use
  • Regional Blood Flow

Substances

  • Antibodies, Monoclonal
  • Immunoglobulin Fab Fragments
  • Platelet Aggregation Inhibitors
  • Platelet Glycoprotein GPIIb-IIIa Complex
  • Abciximab