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European Heart Journal 2004 25(17):1480-1482; doi:10.1016/j.ehj.2004.06.022
Copyright © 2004 by the European Society of Cardiology.
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Editorial

The slippery slope

Paolo Vocia,*, Francesco Pizzutoa and Francesco Romeob

a Section of Cardiology, University of Rome "La Sapienza" Rome, Italy
b Section of Cardiology, University of Rome "Tor Vergata" Rome, Italy

* Correspondence to: Prof. Paolo Voci, Via San Giovanni Eudes, 27 00163 Rome, Italy. Tel.: +39-6-66158122; fax: +39-6-20902709 (E-mail: voci@uniroma1.it).

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This editorial refers to "Assessing myocardial perfusion with the transthoracic doppler technique in patients with reperfused anterior myocardial infarction: comparison with angiographic, enzymatic and electrocardiographic indices"{dagger} by K. Iwakura et al. on page 1526

The achievement of adequate and prompt myocardial reperfusion in acute myocardial infarction (AMI) is the most important determinant of recovery of ventricular function at follow-up. This explains the great attention given to the so-called no-reflow phenomenon, which is associated with extensive myocardial damage and a high prevalence of future cardiac events after AMI. The no-reflow phenomenon has been clinically demonstrated first by the thrombolysis in myocardial infarction (TIMI) trial1 and subsequently studied by other invasive imaging methods such as intra-coronary myocardial contrast echocardiography,2,3 intra-coronary Doppler ultrasound,4,5 TIMI frame count,6 and myocardial blush grade.7 Recently, noninvasive techniques as intravenous myocardial contrast echocardiography (MCE)4 and transthoracic coronary Doppler ultrasound8 have been introduced to . . . [Full Text of this Article]

Is the gold standard in a bubble?

Peak flow velocity

The slope

Which role for systole?

Conclusions


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Related articles in EHJ:

Assessing myocardial perfusion with the transthoracic Doppler technique in patients with reperfused anterior myocardial infarction: comparison with angiographic, enzymatic and electrocardiographic indices
Katsuomi Iwakura, Hiroshi Ito, Shigeo Kawano, Atsushi Okamura, Koji Tanaka, Yuya Nishida, Yoshihiro Maekawa, and Kenshi Fujii
EHJ 2004 25: 1526-1533. [Abstract] [Full Text]  



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