Review

Slow Blood Flow after Percutaneous Coronary Intervention in Patients with St-Segment Elevation Myocardial Infarction, Unstable Angina and Coronary Total Occlusion

Laxmi Narayan Goit^1,*, Shaning Yang^2,✉

¹Department of Cardiology, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, 434023, P. R. China. ²Department of Cardiology, Clinical College of Yangtze University and The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, 434023, P. R. China.

✉ Correspondence
Laxmi Narayan Goit and Shaning Yang, Department of Cardiology, the First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, 434023, P. R. China. Email: [email protected]. Telephone number: +86-15272634003 or +9779842187350.
Received: May 26, 2020. Accepted: January 19, 2021. Published online: January 20, 2021.
Cite this paper: Laxmi Narayan Goit, Shaning Yang. (2021) Slow blood flow after percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction, unstable angina and coronary total occlusion. Global Journal of Life Sciences, 2(1):37-44. https://naturescholars.com/gjls.020105. https://doi.org/10.46633/gjls.020105.
Copyright © 2021 by Scholars Publishing, LLC.

Abstract

The aims of treatment of ST-segment elevation myocardial infarctions are vessel recanalization and restore the normal coronary blood flow. The no-reflow or slow blood phenomenon is one of the common and critical occurrences after PCI in STEMI patients, unstable angina and coronary total occlusion in which myocardial reperfusion therapy  does not restores the optimal level of blood flow. There are several predisposing factors of slow blood flow after PCI have been identified. Alprostadil have beneficial effects on fibrinolysis, vasodilatation and disaggregation. But the role of Alprostadil on coronary blood flow after PCI STEMI patients is remaining unclear. This review articles describes the risk factors, mechanism and management of slow blood flow or no-reflow phenomenon after PCI in patients having ST-Segments elevation myocardial infarctions.

Key words: No-Reflow Phenomenon, Acute Myocardial Infarction, Percutaneous Coronary Intervention, Angiography And Alprostadil.