[心肌梗死与急性冠状动脉综合征：定义、分类及诊断标准]

[Myocardial infarction and acute coronary syndrome: definitions, classification, and diagnostic criteria].

作者信息

Zaĭrat'iants O V, Mishnev O D, Kakturskiĭ L V

机构信息

Kafedra patologicheskoĭ anatomii GBOU VPO "Moskovskiĭ gosudarstvennyĭ mediko-stomatologicheskiĭ universitet im. A.I. Evdokimova" Minzdrava Rossii.

FGBU "NII morfologii cheloveka RAMN", Moskva, Rossiĭskaia Federatsiia.

出版信息

Arkh Patol. 2014 Nov-Dec;76(6):3-11. doi: 10.17116/patol20147663-11.

DOI:10.17116/patol20147663-11

PMID:25842920

Abstract

The review gives the definitions and classification of and diagnostic criteria for myocardial infarction and acute coronary syndrome in accordance with the "The third universal definition of myocardial infarction" adopted in 2012 (Joint ESC/ACCF/AHA/WHF Task Force for the Universal Definition of Myocardial Infarction, 2012). It also discusses the clinical and morphological comparisons of and the problems in the differential diagnosis of myocardial infarction as a nosological entity within coronary heart disease with other coronarogenic and non-coronarogenic necroses of the myocardium.

摘要

本综述依据2012年采用的《心肌梗死的第三次全球定义》（欧洲心脏病学会/美国心脏病学会基金会/美国心脏协会/世界心脏联盟心肌梗死全球定义联合工作组，2012年）给出了心肌梗死和急性冠状动脉综合征的定义、分类及诊断标准。此外，还讨论了作为冠心病中一种疾病实体的心肌梗死与其他冠状动脉源性和非冠状动脉源性心肌坏死在临床及形态学方面的比较，以及鉴别诊断中存在的问题。