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 | [106–117] |
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] |