ABSTRACT

The no-reflow phenomenon In patients with acute myocardial infarction (AMI), early coronary artery recanalization may induce salvage of reversible damaged ischemic myocardium and limit infarct size. The short-term effect is improvement of left ventricular (LV) function and reduction of mortality in the first few weeks after AMI. The long-term effect is prevention of LV remodeling and dilatation, and consequently reduction of LV failure and death. Also, late recanalization of the infarct-related artery (IRA) may offer a benefit, by preventing LV remodeling and improving electrical stability.