心肌梗死全球統(tǒng)一定義與影像學(xué)診斷(1)(已修改)
2025-01-18 03:57 本頁面
【正文】 心肌梗死全球統(tǒng)一定義與影像學(xué)診斷 何作祥 中國醫(yī)學(xué)科學(xué)院阜外心血管病醫(yī)院 Thygesen, K. et al. Circulation 2022。116:26342653 Criteria for Acute MI Criteria for Acute MI Criteria for Acute MI Criteria for Acute MI Criteria for Acute MI Criteria for Acute MI Criteria for Prior MI Thygesen, K. et al. Circulation 2022。116:26342653 Biomarker Evaluation ? The preferred biomarker for myocardial necrosis is cardiac troponin (I or T), which has nearly absolute myocardial tissue specificity as well as high clinical sensitivity, thereby reflecting even microscopic zones of myocardial necrosis. ? If troponin assays are not available, the best alternative is CKMB (measured by mass assay). Electrocardiographic Detection of Myocardial Infarction ? The ECG is an integral part of the diagnostic workup of patients with suspected myocardial infarction. ? The acute or evolving changes in the STT waveforms and the Qwaves when present po
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