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No reflow phenomenon is the failure of blo … No reflow phenomenon is the failure of blood to reperfuse an ischemic area after the physical obstruction has been removed or bypassed. The underlying mechanism is related to arterial microvasculature damage. It is primarily seen during percutaneous coronary intervention (PCI) in the setting of acute myocardial infarction (AMI), but has also been observed in other organs, including the brain and kidneys. Coronary no-reflow phenomenon is specifically related to reduced antegrade coronary blood flow despite proximal coronary artery patentcy. It is an independent predictor of worse clinical outcomes including heart failure, fatal arrhythmias, myocardial infarction, and increased mortality rates.infarction, and increased mortality rates.
, En cardiología, el fenómeno de no reflujo … En cardiología, el fenómeno de no reflujo es la falta de sangre disponible para reperfundir un área isquémica después de que la obstrucción física haya sido anulada y se relaciona con la falta de recuperación funcional de la zona dañada. Por lo general se asocia luego de la reperfusión con la terapia trombolítica, en la angioplastia transluminal coronaria (ATC) primaria y durante otras intervenciones coronarias. Puede estar asociado con daño microvascular.ede estar asociado con daño microvascular.
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Microvascular obstruction
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No reflow phenomenon
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Poor
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Diabetes, chronic inflammatory states, old age, myocardial infarction
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Nitroprusside
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| rdfs:comment |
No reflow phenomenon is the failure of blo … No reflow phenomenon is the failure of blood to reperfuse an ischemic area after the physical obstruction has been removed or bypassed. The underlying mechanism is related to arterial microvasculature damage. It is primarily seen during percutaneous coronary intervention (PCI) in the setting of acute myocardial infarction (AMI), but has also been observed in other organs, including the brain and kidneys. Coronary no-reflow phenomenon is specifically related to reduced antegrade coronary blood flow despite proximal coronary artery patentcy. It is an independent predictor of worse clinical outcomes including heart failure, fatal arrhythmias, myocardial infarction, and increased mortality rates.infarction, and increased mortality rates.
, En cardiología, el fenómeno de no reflujo … En cardiología, el fenómeno de no reflujo es la falta de sangre disponible para reperfundir un área isquémica después de que la obstrucción física haya sido anulada y se relaciona con la falta de recuperación funcional de la zona dañada. Por lo general se asocia luego de la reperfusión con la terapia trombolítica, en la angioplastia transluminal coronaria (ATC) primaria y durante otras intervenciones coronarias. Puede estar asociado con daño microvascular.ede estar asociado con daño microvascular.
|
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Fenómeno de no reflujo
, No reflow phenomenon
|
