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Predictive factors for development of the no-reflow phenomenon in patients with reperfused anterior wall acute myocardial infarction

Katsuomi Iwakura, MD^*, Hiroshi Ito, MD, FACC^*, Shigeo Kawano, MD^*, Yasunori Shintani, MD^*, Koichi Yamamoto, MD^*, Akinobu Kato, MD^*, Masashi Ikushima, MD^*, Koji Tanaka, MD^*, Masashi Kitakaze, MD, Masatsugu Hori, MD, Yorihiko Higashino, MD^* and Kenshi Fujii, MD^*

^* Division of Cardiology, Sakurabashi Watanabe Hospital, Osaka, Japan
Department of Internal Medicine and Therapeutics, Graduate School of Medicine, Osaka University, Osaka, Japan

View larger version (93K): [in a new window]   Figure 1 Representative myocardial contrast echocardiography (MCE) images in patients with an anterior wall acute myocardial infarction (apical two-chamber view). (Left) Good contrast enhancement, with injection of sonicated contrast agent into the left coronary artery, was observed within the area at risk, and this patient had reflow on MCE. (Right) In contrast, a substantial amount of contrast defect was observed within the area at risk (area between arrows), even after successful opening of the culprit lesion, and this patient had no-reflow on MCE.