急性心肌梗死的一种新的、精确的定义。

A new, precise definition of acute myocardial infarction.

作者信息

Senter Shaun, Francis Gary S

机构信息

Cleveland Clinic Heart and Vascular Institute, OH 44195, USA

出版信息

Cleve Clin J Med. 2009 Mar;76(3):159-66. doi: 10.3949/ccjm.75a.08092.

DOI:10.3949/ccjm.75a.08092

PMID:19258462

Abstract

Several international cardiovascular societies have revised their diagnostic criteria for acute myocardial infarction (MI) (J Am Coll Cardiol 2007; 50:2173-2188). The cornerstone of diagnosis remains a high level of clinical suspicion, serial electrocardiograms, and troponin levels. This article reviews the new definition and the appropriate clinical tools necessary to diagnose acute MI accurately.

摘要

多个国际心血管学会已修订了急性心肌梗死（MI）的诊断标准（《美国心脏病学会杂志》2007年；50:2173 - 2188）。诊断的基石仍然是高度的临床怀疑、系列心电图以及肌钙蛋白水平。本文回顾了准确诊断急性心肌梗死所需的新定义和适当的临床工具。