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心肌肌钙蛋白与心肌梗死定义。

Cardiac troponin and defining myocardial infarction.

机构信息

King's College London BHF Centre, The Rayne Institute, 4th Floor, Lambeth Wing, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH, UK.

出版信息

Cardiovasc Res. 2021 Aug 29;117(10):2203-2215. doi: 10.1093/cvr/cvaa331.

DOI:10.1093/cvr/cvaa331
PMID:33458742
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8404461/
Abstract

The 4th Universal Definition of Myocardial Infarction has stimulated considerable debate since its publication in 2018. The intention was to define the types of myocardial injury through the lens of their underpinning pathophysiology. In this review, we discuss how the 4th Universal Definition of Myocardial Infarction defines infarction and injury and the necessary pragmatic adjustments that appear in clinical guidelines to maximize triage of real-world patients.

摘要

《第四版心肌梗死全球统一定义》自 2018 年发布以来引发了广泛的讨论。其目的是通过潜在病理生理学的视角来定义心肌损伤的类型。在这篇综述中，我们将讨论《第四版心肌梗死全球统一定义》如何定义梗死和损伤，以及为了最大限度地对真实世界患者进行分诊，临床指南中出现的必要实用调整。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96b0/8404461/815079710917/cvaa331f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96b0/8404461/ec077d964761/cvaa331f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96b0/8404461/f6ad95418f31/cvaa331f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96b0/8404461/028a8039059a/cvaa331f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96b0/8404461/815079710917/cvaa331f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96b0/8404461/ec077d964761/cvaa331f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96b0/8404461/f6ad95418f31/cvaa331f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96b0/8404461/028a8039059a/cvaa331f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96b0/8404461/815079710917/cvaa331f4.jpg

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2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation.2020年欧洲心脏病学会非持续性ST段抬高型急性冠状动脉综合征患者管理指南
Rev Esp Cardiol (Engl Ed). 2021 Jun;74(6):544. doi: 10.1016/j.rec.2021.05.002.
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Atherosclerotic Cardiovascular Disease Risk Stratification Based on Measurements of Troponin and Coronary Artery Calcium.基于肌钙蛋白和冠状动脉钙测量的动脉粥样硬化性心血管疾病风险分层。
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