Periprocedural Myocardial Injury: Pathophysiology, Prognosis, and Prevention

Cardiovasc Revasc Med. 2020 Aug;21(8):1041-1052. doi: 10.1016/j.carrev.2020.04.011. Epub 2020 May 26.

Abstract

The definition and clinical implications of myocardial infarction occurring in the setting of percutaneous coronary intervention have been the subject of unresolved controversy. The definitions of periprocedural myocardial infarction (PMI) are many and have evolved over recent years. Additionally, the recent advancement of different imaging modalities has provided useful information on a patients' pre-procedural risk of myocardial infarction. Nonetheless, questions on the benefit of different approaches to prevent PMI and their practical implementation remain open. This review aims to address these questions and to provide a current and contemporary perspective.

Keywords: Periprocedural myocardial injury.

Publication types

  • Review

MeSH terms

  • Cardiac Catheterization / adverse effects*
  • Humans
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / etiology*
  • Myocardial Infarction / physiopathology
  • Myocardial Infarction / prevention & control
  • Percutaneous Coronary Intervention / adverse effects*
  • Predictive Value of Tests
  • Prognosis
  • Risk Factors