The Department of Medicine, The Section of Cardiology, Baylor College of Medicine, Houston, TX, USA.
Health Research Institute of the Balearic Islands, Hospital Son Espases, Palma, Spain.
Ann Noninvasive Electrocardiol. 2020 Sep;25(5):e12786. doi: 10.1111/anec.12786. Epub 2020 Jul 8.
The Fourth Universal Definition of Myocardial Infarction (FUDMI) focuses on the distinction between nonischemic myocardial injury and myocardial infarction (MI), along with the role of cardiovascular magnetic resonance, in order to define the etiology of myocardial injury. As a consequence, there is less emphasis on updating the parts of the definition concerning the electrocardiographic (ECG) changes related to MI. Evidence of myocardial ischemia is a prerequisite for the diagnosis of MI, and the ECG is the main available tool for (a) detecting acute ischemia, (b) triage, and (c) risk stratification upon presentation. This review focuses on multiple aspects of ECG interpretation that we firmly believe should be considered for incorporation in any future update to the Universal Definition of MI.
第四版心肌梗死通用定义（FUDMI）侧重于区分非缺血性心肌损伤和心肌梗死（MI），以及心血管磁共振的作用，以确定心肌损伤的病因。因此，该定义中与 MI 相关的心电图（ECG）改变部分的更新内容就显得不那么重要了。心肌缺血的证据是 MI 诊断的前提，ECG 是用于（a）检测急性缺血、（b）分诊和（c）就诊时风险分层的主要手段。本综述重点介绍了我们坚信应纳入任何未来 MI 通用定义更新的 ECG 解释的多个方面。
