Predictores de fenómeno de no reflujo en infarto agudo del miocardio con elevación del segmento ST

Translated title of the contribution: Predictors in no-reflow phenomenon in acute myocardial infarction with ST-segment elevation

Jesús A. Ruíz-Avalos, Lisette Bazán-Rodríguez, Gabriela Espinoza-Escobar, Francisco A. Martínez-Villa, José M. Ornelas-Aguirre*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background: No-reflow (NR) phenomenon is one of the most feared complications after percutaneous coronary intervention (PCI) in the treatment of ST-segment elevation myocardial infarction (STEMI) due to its high morbidity and mortality. Objective: To describe the predictive factors for NR phenomenon in a group of subjects with STEMI treated with PCI. Method: One hundred and three cases of STEMI who underwent PCI. The subjects were divided according to the presence of NR phenomenon. In a multivariate analysis: age, gender, comorbidities, weight, and other clinical and laboratory parame-ters were studied as predictors of NR phenomenon were studied. Results: In this study, logistic regression analysis identified as independent factors for the development of NR phenomenon: baseline TIMI flow ≤ 2 (OR: 6.03; 95% CI, 0.9 to 11.8; p = 0.04), ER KDIGO ≥ 3 (OR: 3.49; 95%CI, 1.2 to 2.6; p = 0.02) and glucose level ≥ 180 mg/dL (OR:2.61; 95% CI, 1.0 to 2.4; p = 0.04). Conclusions: NR phenomenon continues to be a challenge for short and long-term morbidity and mortality in STEMI. The identified factors can be used for the stratification of cases with STEMI and risk of NR phenomenon prior to PCI.

Translated title of the contributionPredictors in no-reflow phenomenon in acute myocardial infarction with ST-segment elevation
Original languageSpanish
Pages (from-to)461-468
Number of pages8
JournalArchivos de Cardiologia de Mexico
Issue number4
StatePublished - 2022

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© 2022, Instituto Nacional de Cardiologia Ignazio Chavez. All rights reserved.


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