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The no-reflow phenomenon following primary percutaneous coronary intervention (PPCI) in acute ST-elevation myocardial infarction (STEMI) patients is a predictor of unfavorable prognosis. Patients with no-reflow have many complications during admission, and it is considered a marker of short-term mortality. The current research emphasizes the circumstances of the incidence and complications of the no-reflow phenomenon in STEMI patients, including in-hospital mortality. In this case-control study, conducted over two and a half years, there were enrolled 656 patients diagnosed with STEMI and reperfused through PPCI. Several patients (n = 96) developed an interventional type of no-reflow phenomenon. One third of the patients with a no-reflow phenomenon suffered complications during admission, and 14 succumbed. Regarding complications, the majority consisted of arrhythmias (21.68%) and cardiogenic shock (16.67%). The anterior localization of STEMI and the left anterior descending artery (LAD) as a culprit lesion were associated with the highest number of complications during hospitalization. At the same time, the time interval >12 h from the onset of the typical symptoms of myocardial infarction (MI) until revascularization, as well as multiple stents implantations during PPCI, correlated with an increased incidence of short-term complications. The no-reflow phenomenon in patients with STEMI was associated with an unfavorable short-term prognosis.

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The chemical composition and antimicrobial activity of the essential oil isolated by steam distillation from Hypericum perforatum L. (St John�s wort) growing wild in western Romania have been studied. The extraction yield was 0.41% (v/w) based on the dry plant material. The essential oil was analyzed by GC�MS, and a total of twenty-two components were identified. The major components were alpha-pinene (30.92%), beta-pinene (18.32%) and caryophyllene (15.26%). The antimicrobial activity of the H. perforatum essential oil was screened using the disk diffusion method against 7 common food-related bacteria and fungus. The analyzed EO possesses strong antimicrobial activity. Klebsiella pneumoniae and Pseudomonas aeruginosa were the most resistant species. The analyzed oil can represent an inexpensive natural source of antiseptic compounds, an alternative to synthetic preservatives.