Non-Q-wave myocardial infarction

Abstract

The rationale for introducing the term "non-Q-wave myocardial infarction" is identified. The incidence, pathology, pathogenesis, and diagnostic criteria for this condition, previously identified as nontransmural or subendocardial infarction, are reviewed. In reviewing the diagnostic criteria, the various noninvasive techniques that may be applied are discussed. The clinical course, prognosis, and management are discussed under the headings of early postinfarction period, late clinical course, predischarge evaluation, and long-term care. The issues of the management of infarct extension and acute interventional therapy are raised and reviewed. Suggestions regarding specific aspects of therapy in non-Q-wave myocardial infarction are included in the summary.