CLINICAL PREDICTORS OF NO REFLOW PHENOMENON IN A HEALTH FACILITY IN ABUJA, NIGERIA

Dr. Folorunso Timothy Oluwarotimi*

ABSTRACT

Background: No reflow phenomenon is not so uncommon. There are divergent view on this due to variation in patient presentation and available practice from one region of the world to the other. Objectives: We analyzed the incidence of no reflow phenomenon, its clinical predictors and length of hospital stay for the patients undergoing percutaneous coronary intervention (PCI) in a health facility in Abuja Nigeria. Method: This is a single center prospective observational cross-sectional study of patients who had PCI from September to November 2024. The demographic & clinical characteristics and length of hospital stay were compared between patients with or without no reflow phenomenon. Results: 78 patients had PCI, out of which 18 (23.1) had no reflow phenomenon with statistically significant longer duration of lesion (p < 0.001) and hospital stay (p< 0.002) however no record of mortality. Conclusion: No reflow phenomenon is common and strongly influenced by duration of the lesion with associated longer duration of hospitalization.

Keywords: No reflow phenomenon, percutaneous coronary intervention and Duration.