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Review
. 2019 Nov 26;140(22):1773-1775.
doi: 10.1161/CIRCULATIONAHA.119.042157. Epub 2019 Sep 6.

A Proposal for Modest Revision of the Definition of Type 1 and Type 2 Myocardial Infarction

James A de Lemos  1 , L Kristin Newby  2 , Nicholas L Mills  3
Affiliations
Review

A Proposal for Modest Revision of the Definition of Type 1 and Type 2 Myocardial Infarction

James A de Lemos et al. Circulation. .
No abstract available

Keywords: anemia; coronary artery disease; hypertension; myocardial infarction; tachyarrhythmia.

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Figures

Figure.
Figure.
Proposed revision to Universal Definition of Myocardial Infarction (UDMI). The proposal redefines type 1 and type 2 MI based on the presence or absence of acute coronary obstruction, with subclassifications based on underlying pathophysiology. This differs from the current UDMI by categorizing spontaneous coronary dissection, coronary embolism, and vasospasm as type 1 MI, and subclassifying type 2 MI based on the presence or absence of fixed obstructive coronary disease. CAD indicates coronary artery disease; and MI, myocardial infarction.
See this image and copyright information in PMC

References

    1. Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, White HD Executive Group on behalf of the Joint European Society of Cardiology (ESC)/American College of Cardiology (ACC)/American Heart Association (AHA)/World Heart Federation (WHF) Task Force for the Universal Definition of Myocardial Infarction. Fourth Universal Definition of Myocardial Infarction (2018). Circulation. 2018;138:e618–e651. doi: 10.1161/CIR.0000000000000617. - PubMed
    1. DeFilppis AP, Chapman AR, Mills NL, de Lemos JA, Arbab-Zadeh A, Newby LK, Morrow DA. Assessment and treatment of patients with type 2 myocardial infarction and acute nonischemic myocardial injury. Circulation. 2019;140:1661–1678. doi: 10.1161/CIRCULATIONAHA.119.040631. - PMC - PubMed
    1. Goyal A, Gluckman TJ, Tcheng JE. What’s in a name? The New ICD-10 (10th Revision of the International Statistical Classification of Diseases and Related Health Problems) codes and type 2 myocardial infarction. Circulation. 2017;136:1180–1182. doi: 10.1161/CIRCULATIONAHA.117.030347. - PubMed
    1. Hayes SN, Kim ESH, Saw J, Adlam D, Arslanian-Engoren C, Economy KE, Ganesh SK, Gulati R, Lindsay ME, Mieres JH, et al. American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; and Stroke Council. Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association. Circulation. 2018;137:e523–e557. doi: 10.1161/CIR.0000000000000564. - PMC - PubMed
    1. Tamis-Holland JE, Jneid H, Reynolds HR, Agewall S, Brilakis ES, Brown TM, Lerman A, Cushman M, Kumbhani DJ, Arslanian-Engoren C, et al. American Heart Association Interventional Cardiovascular Care Committee of the Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; and Council on Quality of Care and Outcomes Research. Contemporary Diagnosis and Management of Patients With Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease: A Scientific Statement From the American Heart Association. Circulation. 2019;139:e891–e908. doi: 10.1161/CIR.0000000000000670. - PubMed

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