No-reflow phenomenon coronary doppler imaging

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Jennifer Giuseffi, M.D.; David M. Leder, M.D.; Ayokunle Olubaniyi, M.B,B.S [2]

Overview

Coronary Doppler Imaging

This involves the study of the coronary blood flow velocity patterns. No-reflow has a pathognomonic features which is the presence of:

  • Systolic flow reversal
  • Reduced antegrade systolic flow
  • Forward diastolic flow with a rapid deceleration slope

This method also helps in distinguishing those with microthrombi from those without.

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