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[心肌梗死的新通用定义]

[The new universal definition of myocardial infarction].

作者信息

Hod Hanoch, Halon David, Hammerman Haim, Hasdai David, Zahger Doron, Lewis Basil, Mosseri Morris, Atar Shaul

机构信息

Israel Heart Society.

出版信息

Harefuah. 2009 Jan;148(1):60-4, 86.

PMID:19320393
Abstract

Given the considerable advances in recent years in myocardial infarction diagnosis and management, the European Society of Cardiology (ESC), the American College of Cardiology (ACC), the American Heart Association (AHA), together with the World Heart Federation [WHF] recently published an expert consensus document to establish a universal definition for myocardial infarction. The consensus document recognizes five separate myocardial infarction categories based on the differences in pathophysiology, and whether percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) surgery is involved. The new consensus document expands the criteria for defining myocardial infarction by adding new ECG criteria and imaging modalities, and also includes patients who present with sudden death. The Israel Heart Society has adopted the new universal definition and recommends its use by clinicians, researchers and epidemiologists. .

摘要

鉴于近年来心肌梗死诊断和管理方面取得了显著进展,欧洲心脏病学会(ESC)、美国心脏病学会(ACC)、美国心脏协会(AHA)以及世界心脏联盟(WHF)最近发表了一份专家共识文件,以确立心肌梗死的通用定义。该共识文件根据病理生理学差异以及是否涉及经皮冠状动脉介入治疗(PCI)或冠状动脉旁路移植术(CABG)手术,确认了五个不同的心肌梗死类别。新的共识文件通过增加新的心电图标准和成像方式,扩大了心肌梗死的定义标准,还纳入了猝死患者。以色列心脏协会采用了新的通用定义,并建议临床医生、研究人员和流行病学家使用。

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