Thursday, February 19, 2026

Occurrence of Slow Flow/No-Reflow in Primary Percutaneous Coronary Intervention: Predictors, Management, and Outcomes.

Authors: Ayaz S, Ullah H, Khan FR, Waleed M, Ullah Jan R, Ali I, Ullah A.

DOI: 10.7759/cureus.99180

Abstract Summary

Slow flow/no-reflow during primary PCI for STEMI affects 25% of patients and significantly worsens outcomes, including quadrupled mortality. A simple pre-procedure triadโ€”diabetes, heavy thrombus burden, and absent blood flowโ€”predicts this complication better than treatment delays, achieving 74% accuracy. Early identification may enable protective strategies before intervention.

Why Brain? ๐Ÿง 

Study identifies three pre-procedure factorsโ€”diabetes, heavy thrombus, and absent blood flowโ€”that predict harmful slow-flow during heart attack stenting, enabling earlier protective interventions.

Study Limitations:

Single-center study at a high-volume tertiary center
External validation is warranted prior to routine adoption

License: cc by.


The image is AI-generated for illustrative purposes only. Courtesy of Midjourney.

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