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In October 2007 an update of the definition of
myocardial infarction was published in several scientific journals.
The updated definition was published in a consensus report made by
a task force on behalf of ESC (European Society of Cardiology),
ACCF (American College of Cardiology Foundation), AHA (American
Heart Association) and WHF World Heart Federation).
In the new definition the use of cardiac biomarkers,
preferably troponin, is still central in the diagnosis of
myocardial infarction, together with ECG and patient history. An
elevation of troponin (or another cardiac biomarker) combined with
at least one of the following: ECG changes, imaging evidence or
ischemia symptoms meet the criteria for a diagnosis of myocardial
infarction.
The classifications and updates contained within the
definition are expected to improve patient outcomes. A patient, who
might earlier have been classified as having unstable angina, might
now be classified as having a myocardial infarction and therefore
receive more aggressive treatment, which might decrease
mortality.
Selected quotes, which emphasize the importance of
cardiac biomarker tests, are presented. |