Farag, Mohamed, Peverelli, Marta, Spinthakis, Nikolaos, Gue, Ying X 
ORCID: 0000-0001-9994-8915, Egred, Mohaned and Gorog, Diana A
(2023)
Spontaneous Reperfusion in Patients with Transient ST-Elevation Myocardial Infarction-Prevalence, Importance and Approaches to Management.
CARDIOVASCULAR DRUGS AND THERAPY, 37 (1).
pp. 169-180.
Abstract
Patients with transient ST-elevation myocardial infarction (STEMI) or spontaneous resolution (SpR) of the ST-segment elevation on electrocardiogram could potentially represent a unique group of patients posing a therapeutic management dilemma. In this review, we discuss the potential mechanisms underlying SpR, its relation to clinical outcomes and the proposed management options for patients with transient STEMI with a focus on immediate versus early percutaneous coronary intervention. We performed a structured literature search of PubMed and Cochrane Library databases from inception to December 2020. Studies focused on SpR in patients with acute coronary syndrome were selected. Available data suggest that deferral of angiography and revascularization within 24-48 h in these patients is reasonable and associated with similar or perhaps better outcomes than immediate angiography. Further randomized trials are needed to elucidate the best pharmacological and invasive strategies for this cohort.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Myocardial infarction, Spontaneous resolution, Percutaneous coronary intervention, Outcome |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 12 Oct 2023 14:28 |
| Last Modified: | 12 Oct 2023 14:28 |
| DOI: | 10.1007/s10557-021-07226-7 |
| Open Access URL: | https://uhra.herts.ac.uk/bitstream/handle/2299/249... |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3173639 |
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