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. 2023 Jul 28;37(4):281–302. doi: 10.7555/JBR.37.20230021

Table 4. Treatment for microvascular obstruction.

Disease Compound Effect Ref.

AMI: acute myocardial infarction; CBF: coronary blood flow; MVO, microvascular obstruction; PCI: percutaneous coronary intervention; STEMI: ST-elevation myocardial infarction.

STEMI + PCI Prasugrel/ticagrel + aspirin or clopidogrel + aspirin Prasugrel/ticagrelor were associated with smaller infarct size and lower MVO incidence versus clopidogrel [116]
STEMI + PCI Tirofiban + aspirin and clopidogrel Reduction in the incidence of MVO [28]
STEMI + PCI Adenosine Had no effect on the incidence of MVO [106117]
AMI + PCI Nicorandil Reduction the incidence of MVO by 50% [109]
AMI + PCI Nicorandil + adenosine Reduction the incidence of no-reflow by 40% [119]
STEMI + PCI Nicorandil Reduction the incidence of MVO [120]
AMI + PCI Epinephrine Significant improvement CBF [123]
AMI + PCI Verapamil Reduction the MVO area [99]
AMI + PCI Nicardipine Reduction no-reflow in 71 of 72 patients [124]
AMI + PCI Nicardipine + adenosine + nitroglycerine Reversion no-reflow [125]