作者：
TheJointESC/ACCF/AHA/WHFTaskForcefortheUniversalDefinitionofMyocardialInfarction
出处：JACC.;60:-
指南介绍：
Criteriaforacutemyocardialinfarction
Thetermacutemyocardialinfarction(MI)shouldbeusedwhenthereisevidenceofmyocardialnecrosisinaclinicalsettingconsistentwithacutemyocardialischemia.UndertheseconditionsanyoneofthefollowingcriteriameetsthediagnosisforMI:
?Detectionofariseand/orfallofcardiacbiomarkervalues[preferablycardiactroponin(cTn)]withatleastonevalueabovethe99thpercentileupperreferencelimit(URL)andwithatleastoneofthefollowing:
Symptomsofischemia.
NeworpresumednewsignificantST-segment–Twave(ST–T)changesornewleftbundlebranchblock(LBBB).
DevelopmentofpathologicalQwavesintheECG.
Imagingevidenceofnewlossofviablemyocardiumornewregionalwallmotionabnormality.
Identificationofanintracoronarythrombusbyangiographyorautopsy.
?CardiacdeathwithsymptomssuggestiveofmyocardialischemiaandpresumednewischemicECGchangesornewLBBB,butdeathoccurredbeforecardiacbiomarkerswereobtained,orbeforecardiacbiomarkervalueswouldbeincreased.
?Percutaneouscoronaryintervention(PCI)relatedMIisarbitrarilydefinedbyelevationofcTnvalues(5×99thpercentileURL)inpatientswithnormalbaselinevalues(≤99thpercentileURL)orariseofcTnvalues20%ifthebaselinevaluesareelevatedandarestableorfalling.Inaddition,either(i)symptomssuggestiveofmyocardialischemiaor(ii)newischemicECGchangesor(iii)angiographicfindingsconsistentwithaprocedural北京中医院能治疗白癜风白癜风好治吗
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