ST Segment Elevation Myocardial Infarction Clinical Trial
Official title:
EARLY Microvascular Dysfunction Prediction Using Quantitative Flow Ratio After ST-segment Elevation MYOcardial Infarction (EARLY-MYO-QFR I)
The study intends to provide important data on whether the noval method using quantitative flow ratio could predict microvascular dysfunction.
Microvascular dysfunction (MVD) is a serious complication of PCI, which happens frequently
after STEMI and always correlates with a poor prognosis. However, precise and simplified
assessment of MVD is difficult, especially in the acute phase of STEMI patients. Resent
studies suggested that FFR could be overestimated when MVD exists. But whether the
overestimated value of FFR caused by CMR defined MVO could reflect microcirculation function
is still unclear.
This study is a retrospective study using STEMI patients with TFG 2/3 of the infarct vessel
on initial angiography and presumed culprit lesion ≥50% as the population. Contrast-enhanced
CMR was performed 5 days after PCI as the reference standard.
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