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4. Allgemeine Definition des Myokardinfarkts 2018

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4th universal definition of myocardial infarction 2018

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Zusammenfassung

Die 4. Allgemeine Definition des Myokardinfarkts ist eine Weiterentwicklung der Version aus dem Jahr 2012. Sie legt besonderen Wert auf die Abgrenzung zwischen Myokardschaden und Myokardinfarkt, insbesondere bei periprozedural auftretenden Troponinerhöhungen. Im Kapitel „Biomarker“ wird auf die Problematik der Vergleichbarkeit verschiedener Troponinassays und auf die Troponinverlaufskurve beim akuten Myokardinfarkt eingegangen. Die Definition der 5 Infarkttypen erfuhr geringe Veränderungen. Im Kapitel „EKG-Interpretation“ werden Hochrisikokonstellationen beschrieben. 6 neue Kapitel wurden in die aktuelle Definition eingebracht, darunter das Tako-Tsubo-Syndrom und MINOCA („myocardial infarction with non-obstructive coronary arteries“), auf die kurz eingegangen wird.

Abstract

The 4th universal definition of myocardial infarction consensus document is a further development of the document from 2012. It highlights the discrimination between myocardial injury and infarction and in particular the periprocedural occurrence of increased troponin levels. The chapter on cardiac biomarkers deals with the problems of comparison of various troponin assays and the kinetics of troponin in acute myocardial infarction. The definition of the 5 types of myocardial infarction underwent only minor changes. In the chapter on ECG interpretation high-risk constellations are described. A total of six new chapters were added to the consensus document including the takotsubo syndrome and myocardial infarction with non-obstructive coronary arteries (MINOCA), which are briefly discussed.

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Authors and Affiliations

  1. Medizinisches Versorgungszentrum Prof. Dr. Mathey, Prof. Dr. Schofer, Wördemannsweg 25–27, 22527, Hamburg, Deutschland

    C. Brinkmann &  J. Schofer

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  1. C. Brinkmann
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  2. J. Schofer
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Correspondence to J. Schofer.

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C. Brinkmann und J. Schofer geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Brinkmann, C., Schofer, J. 4. Allgemeine Definition des Myokardinfarkts 2018. Herz 43, 681–688 (2018). https://doi.org/10.1007/s00059-018-4763-6

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  • DOI: https://doi.org/10.1007/s00059-018-4763-6

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