STEMI: A transitional fossil in MI classification?

被引：32

作者：

Aslanger, Emre K. ^{[1
]}

Meyers, Pendell H. ^{[2
]}

Smith, Stephen W. ^{[3
]}

机构：

[1] Marmara Univ, Pendik Training & Res Hosp, Dept Cardiol, Istanbul, Turkey

[2] Carolinas Med Ctr, Dept Emergency Med, Charlotte, NC 28203 USA

[3] Univ Minnesota, Dept Emergency Med, Hennepin Healthcare, Minneapolis, MN USA

来源：

JOURNAL OF ELECTROCARDIOLOGY | 2021年 / 65卷

关键词：

Acute coronary syndromes; Coronary occlusion; Electrocardiogram; Non-ST-elevation myocardial infarction; ST-elevation myocardial infarction; ACUTE MYOCARDIAL-INFARCTION; ST-SEGMENT ELEVATION; PRACTICE GUIDELINES COMMITTEE; ACUTE CORONARY SYNDROMES; ASSOCIATION TASK-FORCE; AMERICAN-COLLEGE; ELECTROCARDIOGRAPHIC CRITERIA; ACC/AHA GUIDELINES; EUROPEAN-SOCIETY; CARDIOLOGY;

D O I：

10.1016/j.jelectrocard.2021.02.001

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

An important task in emergency cardiology is distinguishing patients with acute coronary occlusion (ACO), who will benefit from emergent reperfusion therapy, from those without ongoing myocyte loss who can be managed with medical therapy and for whom potentially harmful invasive interventions can be deferred. The electrocardiogram is critical in this process. Although the ST-segment elevation myocardial infarction (STEMI)/non-STEMI paradigm is well-established, with "STEMI" representing ACO, its evidence base is poor, and this can have dire consequences. The universally recommended STEMI criteria do not accurately diagnose ACO; in fact, they miss more than one-fourth of the patients with ACO, and also result in a substantial burden of unnecessary catheterization laboratory activations. We here discuss why we believe it is time to change the current STEMI/non-STEMI paradigm. (c) 2021 Elsevier Inc. All rights reserved.

引用

页码：163 / 169

页数：7

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