[Myocardial infarction and acute coronary syndrome: definitions, classification, and diagnostic criteria]
O V Zaĭrat'iants1, O D Mishnev2, L V Kakturskiĭ
1Kafedra patologicheskoĭ anatomii GBOU VPO "Moskovskiĭ gosudarstvennyĭ mediko-stomatologicheskiĭ universitet im. A.I. Evdokimova" Minzdrava Rossii.
Insights
This review clarifies myocardial infarction and acute coronary syndrome definitions based on the 2012 universal definition. It explores differential diagnosis challenges for myocardial infarction within coronary heart disease.
Area of Science:
- Cardiology
- Pathology
Background:
- This review focuses on the "Third Universal Definition of Myocardial Infarction" established in 2012.
- It addresses the classification and diagnostic criteria for myocardial infarction and acute coronary syndrome.
Discussion:
- Compares clinical and morphological aspects of myocardial infarction.
- Highlights challenges in differentiating myocardial infarction from other myocardial necroses.
Key Insights:
- Adherence to the 2012 universal definition is crucial for accurate diagnosis.
- Differential diagnosis requires careful consideration of both coronarogenic and non-coronarogenic causes of myocardial necrosis.
Outlook:
- Standardized diagnostic criteria improve patient management and research.
- Further research may refine differential diagnostic approaches for myocardial necrosis.
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.
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