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Дисертації з теми "Primary percutaneous coronary intervention (PCI)"

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1

Huang, Jianfeng. "Etude de l'angioplastie guidée par tomographie en cohérence optique." Thesis, Bourgogne Franche-Comté, 2018. http://www.theses.fr/2018UBFCE007/document.

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Анотація:
L'imagerie par tomographie en cohérence optique (OCT) est prometteuse comme support de la prise de décision au cours des procédures d'interventions coronariennes percutanées (PCI), pou évaluer les lésions athéromateuses, juger de la bonne implantation du stent, et dépister les lésions vasculaires dues au stent. L'OCT représente donc bien une aide potentielle pour le cardiologue interventionnel tout au long de la procédure de stenting, avec un impact certain sur la stratégie interventionnelle initialement programmée. De plus, l'OCT se révèle comme un nouvel outil pour prédire la dissection des
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2

Krishnamurthy, Arvindra. "Determinants of clinical outcomes following primary percutaneous coronary intervention : the West Yorkshire Primary Percutaneous Coronary Intervention Outcome Study." Thesis, University of Leeds, 2017. http://etheses.whiterose.ac.uk/19964/.

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Анотація:
Objectives: To identify determinants of clinical outcomes following primary percutaneous coronary intervention (PPCI) for ST-segment elevation myocardial infarction (STEMI). Background: Although PPCI is currently the gold-standard guideline-indicated care for STEMI in the UK, factors associated with important clinical outcomes are still being explored and discovered. The purpose of this study and the analyses within this study, is to identify factors that were either previously unreported or variably reported. Methods: Baseline and procedural data of all consecutive patients undergoing PPCI be
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3

Patel, Niket. "Coronary microcirculatory physiology following primary percutaneous coronary intervention for ST-elevation myocardial infarction." Thesis, St George's, University of London, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.703275.

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Microvascular no-reflow occurs in greater than 50% of patients following primary percutaneous coronary intervention (PPCI) for ST-elevation myocardial infarction (STEMI) and, although it adversely affects outcomes, it is poorly understood. The aim of this thesis was to study the physiology of the microcirculation in patients following STEM I. We studied the microcirculatory physiology using thermodilution and Doppler flow wire techniques. The infarct-related artery was studied at PPCI and 24-hours postPPCI. Zero flow pressure (pzfL hyperaemic myocardial resistance (hMR), index of microcirculat
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4

Tazaki, Junichi. "Three-year outcome after percutaneous coronary intervention and coronary artery bypass grafting in patients with triple vessel coronary artery disease:observation from the CREDO-Kyoto PCI/CABG registry cohort-2." Kyoto University, 2013. http://hdl.handle.net/2433/180603.

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5

Edmonds, Mary. "Primary percutaneous coronary intervention for acute myocardial infarction : exploring the experiences of patients, carers and cardiac nurses." Thesis, Anglia Ruskin University, 2017. http://arro.anglia.ac.uk/703771/.

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Анотація:
A narrative inquiry approach was used to compare and contrast the experiences of ten patients who received Primary Percutaneous Coronary Intervention (PPCI) for Acute Myocardial Infarction. Eight carers and ten cardiac nurses in one Heart Attack Centre were also recruited. The purpose of the study was to understand what mattered to these individuals from their different perspectives. Patients and carers were interviewed within 14 days of hospital discharge. Vignettes were developed from participants’ direct quotations to convey their experiences of different events surrounding the PPCI. Two ar
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6

Edmonds, Mary. "Primary percutaneous coronary intervention for acute myocardial infarction: Exploring the experiences of patients, carers and cardiac nurses." Thesis, Anglia Ruskin University, 2017. https://arro.anglia.ac.uk/id/eprint/703771/1/Edmonds_2017.pdf.

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Анотація:
A narrative inquiry approach was used to compare and contrast the experiences of ten patients who received Primary Percutaneous Coronary Intervention (PPCI) for Acute Myocardial Infarction. Eight carers and ten cardiac nurses in one Heart Attack Centre were also recruited. The purpose of the study was to understand what mattered to these individuals from their different perspectives. Patients and carers were interviewed within 14 days of hospital discharge. Vignettes were developed from participants’ direct quotations to convey their experiences of different events surrounding the PPCI. Two ar
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7

Iles-Smith, Heather. "A mixed methods study investigating re-presentation, symptom attribution and psychological health in primary percutaneous coronary intervention patients." Thesis, University of Manchester, 2012. https://www.research.manchester.ac.uk/portal/en/theses/a-mixed-methods-study-investigating-representation-symptom-attribution-and-psychological-health-in-primary-percutaneous-coronary-intervention-patients(afa5912c-4379-4913-aa05-9b1991b67250).html.

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Анотація:
Introduction: Following ST-elevation myocardial infarction (STEMI) and treatment with Primary Percutaneous Coronary Intervention (PPCI), some patients re-present with potential ischaemic heart disease (IHD) symptoms. Symptoms may be related to cardiac ischaemia, reduced psychological health or a comorbid condition, which share similar symptoms and may lead patients to seek help via acute services. The purpose of the study was to investigate the proportion of PPCI patients who re-presented to acute services due to potential IHD symptoms within 6 months of STEMI, and to explore associated factor
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8

Corones, Watkins Katina Marlene. "A randomised controlled clinical trial of a post-discharge, nurse-led educational intervention to reduce anxiety and enhance self-efficacy in percutaneous coronary intervention (PCI) patients within the first week post-discharge: A pilot study." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/93369/1/Katina_Corones-Watkins_Thesis.pdf.

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Анотація:
This research investigated the efficacy of a post-discharge nurse-led clinic, for patients who underwent a cardiovascular interventional procedure in Australia. A randomised controlled clinical trial measured the effects of the clinic on patient confidence to self-manage and minimise psychological distress given the strong link between anxiety, depression and coronary heart disease. Hospitalisation for the procedure is short and stressful, and patients may wait up to 7-64 days for post-discharge review. This study provides preliminary quantitative and qualitative evidence that nurse-led clinic
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9

Nakatsuma, Kenji. "Inter-Facility Transfer vs. Direct Admission of Patients With ST-Segment Elevation Acute Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention." 京都大学 (Kyoto University), 2017. http://hdl.handle.net/2433/225453.

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10

Aasa, Mikael. "Reperfusion therapy in acute ST-elevation myocardial infarction a comparison between primary percutaneous intervention and thrombolysis in a short- and long-term perspective /." Stockholm : Department of Clinical Science and Education, Karolinska Institutet, 2010. http://diss.kib.ki.se/2010/978-91-7409-703-0/.

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11

Watanabe, Hiroki. "Chronic total occlusion in non-infarct-related artery is closely associated with increased five-year mortality in patients with ST-segment elevation acute myocardial infarction undergoing primary percutaneous coronary intervention (From the CREDO-Kyoto AMI registry)." 京都大学 (Kyoto University), 2017. http://hdl.handle.net/2433/225504.

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12

Shotter, Weetman Cas. "An exploratory study of the subjective experience of patients who have had primary percutaneous coronary intervention (PPCI) following a heart attack (myocardial infarction) : the personal journey to discharge." Thesis, University of West London, 2017. https://repository.uwl.ac.uk/id/eprint/3838/.

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Анотація:
The National Health Service (NHS) in England is changing, not only in terms of the technical aspects of care (such as that afforded by new technology), but also in the way in which care is delivered to patients. For example, due to the increasing pressures being placed upon health services, hospitals need to develop innovative ways to reduce the length of time patients actually spend in hospital. Whilst this improves capacity planning, bed management and patient flow, it also seeks to ensure improved patient safety by delivering care and ongoing treatment in the most appropriate setting. Howev
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13

Takousi, Maria. "Patients' health related quality of life after coronary revascularization : a longitudinal mixed method study." Thesis, University of Hertfordshire, 2017. http://hdl.handle.net/2299/19249.

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Анотація:
Aims: Coronary Revascularization (CR) has increased patients' survival rate globally. However, the lack of a consensus definition of Health Related Quality of Life (HRQoL) and the different methodological and conceptual approaches adopted by researchers in the cardio-revascularization field create an incomplete picture of the influence of CR on individuals' HRQoL. By using mixed methodology, the current research aimed to explore Greek CHD patients' perspectives of their HRQoL after CR (Coronary Artery Bypass Grafting (CABG) or Percutaneous Coronary Interventions (PCI)), as well as detect and e
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14

Shiomi, Hiroki. "Association of onset to balloon and door to balloon time with long term clinical outcome in patients with ST elevation acute myocardial infarction having primary percutaneous coronary intervention: observational study." Kyoto University, 2013. http://hdl.handle.net/2433/174776.

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15

Khoury, Carlos H. El. "Modélisation des stratégies de reperfusion de l’infarctus du myocarde." Thesis, Lyon, 2016. http://www.theses.fr/2016LYSE1026/document.

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Анотація:
Objectifs. L'infarctus aigu du myocarde (IDM) touche chaque année plus de 120 000 personnes en France. Nous nous sommes intéressés à la prise en charge du SCA avec sus-décalage du segment ST (ST+). Deux stratégies de revascularisation coronaires s'offrent à nous : la thrombolyse intraveineuse et l'angioplastie primaire. Notre travail a évalué l'impact du choix de ces stratégies dans la phase aiguë de l'infarctus du myocarde, à travers la mise en place d'un réseau associant la médecine d'urgence et la cardiologie interventionnelle autour d'un référentiel partagé. Méthode. Nous avons mis en plac
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16

Edwards, Timothy Robin. "A prospective observational study to investigate the effect of prehospital airway management strategies on mortality and morbidity of patients who experience return of spontaneous circulation post cardiac arrest and are transferred directly to regional Heart Attack Centres by the Ambulance Service." Thesis, University of Hertfordshire, 2017. http://hdl.handle.net/2299/19508.

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Анотація:
Introduction: The most appropriate airway management technique for use by paramedics in out-of-hospital cardiac arrest is yet to be determined and evidence relating to the influence of airway management strategy on outcome remains equivocal. In cases where return of spontaneous circulation (ROSC) occurs following out-of-hospital cardiac arrest, patients may undergo direct transfer to a specialist heart attack centre (HAC) where the post resuscitation 12 lead ECG demonstrates evidence of ST elevation myocardial infarction. To date, no studies have investigated the role of airway management stra
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17

Soo, Hoo Soon Yeng. "Health-related quality of life outcomes following primary percutaneous coronary intervention for ST-elevation myocardial infarction (HOOP-PCI study)." Thesis, 2016. http://hdl.handle.net/10453/90242.

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Анотація:
University of Technology Sydney. Faculty of Health.<br>[Background] Health-related quality of life (HRQOL) is an important measure of patient outcome following primary percutaneous coronary intervention (PPCI) for an ST-Elevation myocardial infarction (STEMI). The assessment of HRQOL quantifies patient perceptions of the impact of an acute, unanticipated cardiac event on their survival and normal function. Despite international recognition and recommendations supporting HRQOL as a vital measure of cardiovascular health status, HRQOL remains under-reported and not routinely implemented in PPCI
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18

Lai, Shan-Shan, and 賴珊珊. "Three-Year Medical Resources utilization and Outcomes after different Percutaneous Coronary Intervention (PCI)." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/52763133254812403906.

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碩士<br>高雄醫學大學<br>公共衛生學研究所碩士班<br>93<br>Clinical and economic outcome of Percutaneous Coronary Intervention (PCI) has been performed in many studies. These results may not provide for Taiwan. Outcomes might be different due to payment, medical technology, clinical care ability, and culture. Besides, studies on resource utilization and clinical outcome of Percutaneous coronary Intervention (PCI) were limited to a single institution and a short term study in Taiwan. Therefore, a multi-center, three-year follow-up study design will be used to explore the medical resource utilization and clinical out
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19

Throndson, Karen Lynn. "Exploring the health behaviour practices of elective ad-hoc percutaneous coronary intervention (PCI) patients." 2011. http://hdl.handle.net/1993/4496.

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Анотація:
Interventional technologies such as elective percutaneous coronary interventions (PCI)are increasingly used to manage the symptoms of coronary artery disease (CAD); however, this treatment approach is associated with poor risk factor management. The purpose of this study was to understand the factors that influence the health behaviors of elective PCI patients. A qualitative approach, using Interpretive Description, was used to explore the ten participants’ healthcare experiences, their perceptions of CAD, and the rationale for their health choices. This generated a profile of these individua
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20

YEH, WEN-TING, and 葉文婷. "Exploration of fatigue, social support and depression of patients undergoing a percutaneous coronary intervention(PCI): a longitudinal study." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/7wtc2p.

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碩士<br>弘光科技大學<br>護理研究所<br>107<br>Background: Cardiovascular disease is one of the most important causes of death worldwide, with nearly 17.5 million people died from coronary artery disease (CAD) annuallyr. Cardiovascular disease has become the top two cause of death in Taiwan.One person dies about every 27 minutes, and the mortality rate rises after 45 years of age. CAD is the main cause of death. Indeed, suddenly suffering from CAD often brings depression to the patients. Due to the current clinical research focus on the interventional treatment for CAD patients, ver few study investigate th
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21

Karamasis, Grigoris V. "Effects of stent post-dilatation during primary percutaneous coronary intervention for ST-segment elevation myocardial infarction." Thesis, 2019. https://arro.anglia.ac.uk/id/eprint/705557/1/Karamasis_2019.docx.

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Анотація:
In patients presenting with ST-elevation myocardial infarction (STEMI), optimal stent deployment is challenging due to factors like thrombus formation and vasoconstriction. Post-dilatation (PD) with non-compliant (NC) balloons could optimise acute procedural results, but in the context of STEMI it has been associated with the no-reflow phenomenon and microvascular injury. This thesis aimed to investigate the impact of PD on coronary microcirculation in STEMI patients. Furthermore, it meant to explore the effect of PD on features of stent deployment and any potential relationship between post-s
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22

Hsu, Kuo-Hwa, and 徐國華. "Discussion of acute STEMI patients with percutaneous coronary intervention (PCI) carried out within 90 minutes of arrival at one Kaohsiung regional hospital." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/22973846884707609195.

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碩士<br>國立中山大學<br>高階經營碩士班<br>101<br>Acute coronary artery syndrome (ACS) is coronary artery disease caused by nearby or obstruction of coronary artery. It could be differed to ST elevated myocardial infarction (STEMI), non-ST elevated myocardial infarction (NSTEMI) and unstable angina (UAP). Most people complained of chest pain, but old people called help at emergency room because of shortness of breath, conscious change or heart failure. The purpose of the research is to confirmthe diagnosis of STEMI in time and how to perform primary percutaneous coronary intervention (PCI) more efficientwithi
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23

Ilchyshyn, Nazar. "Performance and safety outcomes of a structured chronic total occlusion (CTO) PCI program." Master's thesis, 2020. http://hdl.handle.net/10316/97818.

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Trabalho Final do Mestrado Integrado em Medicina apresentado à Faculdade de Medicina<br>IntroduçãoOclusão total crónica (CTO) é encontrada por rotina em doentes que são submetidos à angiografia coronária. Nos últimos anos as taxas de sucesso das intervenções coronárias percutâneas (PCIs) nestes doentes tem aumentado, resultado das melhorias técnicas e de materiais utilizados, sem comprometer, contudo, a segurança do doente. Tivemos como objetivo descrever as características, os aspetos procedimentais e os resultados clínicos de um programa estruturado de PCI CTO.MétodosConduzimos um estudo pro
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24

Chen, Yen-Hsun, and 陳彥勳. "Characteristics of patients early discharged with acute ST segment elevation myocardial infarction undergoing successful primary percutaneous coronary intervention." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/88344143810466819176.

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25

Kuo, Li Tang, and 郭李堂. "The effect of short message service intervention on the treatment time of primary percutaneous coronary intervention among ST segment elevation acute myocardial infarction patients." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/12795760018196317893.

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碩士<br>長庚大學<br>商管專業學院碩士學位學程在職專班醫務管理組<br>101<br>Cardiovascular disease is one of the major leading causes of death in Taiwan. Acute ST-segment elevation myocardial infarction (STEMI) carries high and rapid mortality among cardiovascular disease. STEMI is usually caused by acute thrombus formation on a ruptured atherosclerotic plaque in a coronary artery. The evidence of medicine has approved the rapid reperfusion therapy can significantly reduce the mortality. Patients with STEMI should receive primary percutaneous coronary intervention (PCI) with door-to-balloon (D2B) time within 90 minutes. So
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26

Chimed, Surenjav, and Surenjav Chimed. "Long-term Prognostic Value of Strain Echocardiography in Patients with ST Segment Elevation Myocardial Infarction after Primary Percutaneous Coronary Intervention." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/p6p58a.

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27

Yung-Ming and 張永明. "Analysis of AngioJet Thrombectomy on Myocardial Perfusion and Six-month Survival for Patients with Acute ST-elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/84058014995863347486.

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碩士<br>中山醫學大學<br>醫學研究所<br>100<br>Objective: Patients with acute ST-elevation myocardial infarction may have persistent impairment of microvascular blood flow even after successful primary percutaneous coronary intervention ( PCI ). Distal embolization is a possible mechanism of microvascular dysfunction and impaired myocardial perfusion. There has been increasing interest in adjunctive mechanical thrombectomy to improve outcomes in primary PCI. The aim of the present report is to study the role of AngioJet thrombectomy in primary PCI for acute ST-elevation myocardial infarction . Method and Ma
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28

Chen, Fu-Cheng, and 陳輔政. "Initial Elevated Troponin I Is Associated With Mortality and Left Ventricular Ejection Fraction in Patients with STEMI Post Primary Percutaneous Coronary Intervention within 90 Minutes of Arrival." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/31171098818265928270.

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碩士<br>高雄醫學大學<br>公共衛生學研究所<br>101<br>Background: This study evaluated the impact of admission troponin I on 30-day mortality and left ventricular ejection fraction (LVEF) in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI) within 90 minutes of arrival. Methods: Between January 2011 and December 2011, 135 patients who had experienced STEMI with an onset of chest pain < 12 hours of undergoing primary PCI were enrolled. Patients were categorized into initial elevated troponin I group (≧0.5 ng/mL) and initial normal troponin
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29

Drewek-Platena, Sylwia Izabella. "Perkutane koronare Intervention bei Stenosen und Verschlüssen in aortokoronaren Venenbypässen - Wertigkeit der zusätzlichen lokalen Thrombolyse im Vergleich zur alleinigen Ballondilatation mit Stent." Doctoral thesis, 2011. http://hdl.handle.net/11858/00-1735-0000-0006-B17A-0.

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30

Silva, Marta Catarina Correia da. "Microcirculation Function Assessment in Acute Myocardial Infarction: a Systematic Review of Microcirculatory Resistance Indices." Master's thesis, 2021. http://hdl.handle.net/10316/98466.

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Анотація:
Trabalho Final do Mestrado Integrado em Medicina apresentado à Faculdade de Medicina<br>Background: Up to 50% of acute myocardial infarction (MI) patients present with microvascular dysfunction, after a well succeeded percutaneous coronary intervention (PCI), which determines worse clinical outcomes. The main purpose of this study is to provide a critical appraisal of the emerging role of invasive microvascular resistance indices in the MI setting, using the index of microcirculatory resistance (IMR), hyperaemic microvascular resistance (HMR) and zero-flow pressure (Pzf). Methods: We systemati
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