Type 2 myocardial infarction: challenges in diagnosis and treatment

被引：6

作者：

Chapman, Andrew R. ^{[1
]}

Taggart, Caelan ^{[1
]}

Boeddinghaus, Jasper ^{[1
]}

Mills, Nicholas L. ^{[1
,2
]}

Fox, Keith A. A. ^{[1
]}

机构：

[1] Univ Edinburgh, Royal Infirm Edinburgh, BHF Ctr Cardiovasc Sci, Chancellors Bldg, Edinburgh EH16 4SA, Scotland

[2] Univ Edinburgh, Usher Inst, Edinburgh, Scotland

来源：

EUROPEAN HEART JOURNAL | 2024年 / 46卷 / 06期

关键词：

Fourth Universal Definition; Type 2 myocardial infarction; Troponin; CARDIAC TROPONIN-I; ACUTE CORONARY SYNDROME; UNIVERSAL DEFINITION; CLASSIFICATION-SYSTEM; CLINICAL-FEATURES; OUTCOMES; ASSAY; MORTALITY; INJURY; ISCHEMIA;

D O I：

10.1093/eurheartj/ehae803

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The Fourth Universal Definition of Myocardial Infarction recommends a classification based on aetiology, in recognition that the underlying pathophysiology of myocardial infarction influences the approach to investigation and treatment. Type 1 myocardial infarction occurs due to atherosclerotic plaque rupture with thrombosis, whereas type 2 myocardial infarction occurs due to an imbalance in myocardial oxygen supply or unmet need in myocardial oxygen demand, without atherothrombosis, usually in the context of another acute illness. In this state-of-the-art review, the diagnosis, investigation, and treatment of patients with type 2 myocardial infarction are considered, with general advice for clinical practice and a consideration of future research directions.

引用

页码：504 / 517

页数：14

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