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Case 6
History
- Dx: Acute MI circumflex territory with no reflow zone → non-viable infarcted myocardium
- No Reflow: Obstruction to coronary microvasculature 2o tissue oedema, endothelial disruption, plugging of capillaries by neutrophils and microthrombi
- Indicates dead myocardium
- Assoc: poor prognosis, reduced EF, malignant arrhythmias, LV dilatation, LV rupture, ↑ risk cardiac death
- No role for revascularization
Findings
- Dx: Infarction in LAD territory with approx 50% myocardial infarction + sessile thrombus
Treatment
- anticoagulation
- possibly revascularization