Myocardial Injury and Myocardial Infarction - Consequences for Clinical Care in the Light of Current Guidelines

被引:0
作者
Wild, Johannes [1 ,2 ]
Wenzel, Philip [1 ,2 ,3 ]
机构
[1] Univ Med Mainz, Zentrum Kardiol Kardiol 1, Langenbeckstr 1, D-55131 Mainz, Germany
[2] Univ Med Mainz, Ctr Thrombosis & Hemostasis, Mainz, Germany
[3] Deutsch Zentrum Herz Kreislauf Forsch eV, Standort Rhein Main, Berlin, Germany
关键词
myocardial injury; myocardial infarction; troponin; myocardial ischemia; TYPE-1; CLASSIFICATION;
D O I
10.1055/a-0861-9418
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The 2018 Consensus Paper "Universal Definition of Myocardial Infarction" published by the European and American Society of Cardiology (ESC/ACC) made a detailed distinction between myocardial injury and myocardial infarction. Increased troponin levels alone are required for the diagnosis of "myocardial injury". In the presence of clinical signs of ischemia in addition to the myocardial damage measured by serum troponin, it results in the diagnosis of myocardial infarction. Myocardial injury can be caused by a variety of cardiac and extracardiac disorders and even exceeds myocardial infarction in mortality. Due to the heterogeneity of the patients, "myocardial injury" is a particular challenge in everyday clinical practice.
引用
收藏
页码:193 / 198
页数:6
相关论文
共 11 条
  • [11] Thygesen K, 2018, KARDIOL POL, V76, P1383, DOI [10.1016/j.jacc.2018.08.1038, 10.1093/eurheartj/ehy462, 10.1161/CIR.0000000000000617, 10.5603/KP.2018.0203, 10.1016/j.gheart.2018.08.004]