Evidence map›Paper›PMID 41295366›Full record

ReviewJournal of cardiovascular development and disease2025

Pharmacological and Interventional Prevention and Treatment of Microvascular Obstruction Following Primary PCI in STEMI.

Giovanni Occhipinti, Michele Strosio, Riccardo Rinaldi, Andrea Ruberti, Salvatore Brugaletta

Abstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Giovanni OcchipintiCardiology Department, Cardiovascular Clinic Institute, Hospital Clínic de Barcelona, University of Barcelona, 08193 Barcelona, Spain.ORCID 0000-0003-0157-7242
Michele StrosioCardiology Unit, Department of Cardiac-Thoracic-Vascular Sciences and Public Health, University of Padova, Via Nicolò Giustiniani 2, 35128 Padova, Italy.ORCID 0009-0004-3462-365X
Riccardo RinaldiCardiology Department, Cardiovascular Clinic Institute, Hospital Clínic de Barcelona, University of Barcelona, 08193 Barcelona, Spain.ORCID 0000-0003-0559-2626
Andrea RubertiCardiology Department, Cardiovascular Clinic Institute, Hospital Clínic de Barcelona, University of Barcelona, 08193 Barcelona, Spain.
Salvatore BrugalettaCardiology Department, Cardiovascular Clinic Institute, Hospital Clínic de Barcelona, University of Barcelona, 08193 Barcelona, Spain.ORCID 0000-0001-5845-1435

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Microvascular obstruction (MVO) accounts for up to 50% of patients diagnosed with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI). The pathogenesis is multifactorial and includes myocardial ischemia, distal embolization, and ischemia-reperfusion injury, in a context of individual susceptibility. Its occurrence has been related to adverse outcomes. Despite an extensive body of research, no single pharmacological or interventional strategy has proven effectiveness. The inconclusive nature of the evidence can be attributed to lack of standardization among studies in terms of drugs used and their dosage, the variability in study designs, and the fact that available studies performed a decade ago feature reperfusion strategies and drugs used that differ significantly from the current standard of care. In this context, our review aims to discuss the pharmacological and interventional approaches to MVO.

Indexed as

coronary no-Reflowmicrovascular obstructionMVOPCISTEMI

Identifiers

PMID41295366
PMCPMC12653559

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.