Tercera definición universal de infarto de miocardio: Actualización, advertencias, diagnósticos diferenciales.
Third universal definition of myocardial infarction: Update, caveats, differential diagnoses.
Tehrani DM, Seto AH.
Division of Cardiology, Department of Medicine, University of California at Irvine, Orange, CA; Long Beach Veteran's Affairs Medical Center, Long Beach, CA.
Cleve Clin J Med. 2013 Dec;80(12):777-86. doi: 10.3949/ccjm.80a.12158.
Abstract
Updated definitions of myocardial infarction (MI) reflect research on measuring cardiac troponin to diagnose MI. Elevations of this biomarker indicate cardiac injury but not always an acute coronary syndrome. Clinical judgment is needed to interpret increasingly sensitive biomarker assays appropriately. Here, we review the new MI definitions and the various causes of elevated troponin to enable physicians to differentiate acute coronary syndromes from other conditions.
http://www.ccjm.org/content/80/12/777.full.pdf
Redefiniendo el infarto agudo del miocardio. ¿Que hay de nuevo en tercera definicicón de la ESC/ACCF/AHA/WHF?
Redefining myocardial infarction: what is new in the ESC/ACCF/AHA/WHF Third Universal Definition of myocardial infarction?
Jneid H, Alam M, Virani SS, Bozkurt B.
Baylor College of Medicine, Houston, Texas ; Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas.
Methodist Debakey Cardiovasc J. 2013 Jul-Sep;9(3):169-72.
Abstract
Myocardial infarction (MI) is a major cause of mortality and morbidity worldwide. Each year, an estimated 785,000 persons will have a new MI in the United States alone, and approximately every minute an American will succumb to one.1 In addition, MI has major psychological and legal implications for patients and the society and is an important outcome measure in research studies. The prevalence of MI provides useful data regarding the burden of coronary artery disease and offers insight into health care planning, policy, and resource allocation. The importance of accurately and reproducibly defining MI is therefore self-evident. The Third Universal Definition of Myocardial Infarction (MI) expert consensus document was published in October 2012 by the global Myocardial Infarction Task Force.2 This landmark document was cosponsored by multiple cardiovascular societies and included both updated definitions and a modified classification of MI that have important clinical, epidemiological, and research implications. We hereby present a critical overview of this important document and summarize its key recommendations.
KEYWORDS: Third Universal Definition of Myocardial Infarction, acute coronary syndrome, cardiac troponin biomarkers, myocardial infarction, revascularization
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3782325/pdf/MDCVJ-09-169.pdf
¿Que significa la troponina elevada? Actualización en la deficición de infarto del miocardio
What does an elevated troponin mean?--An update on the definition of myocardial infarction.
Xu B, MacIsaac AI.
Department of Cardiology, St Vincent's Hospital, Melbourne, VIC, Australia. bo.xu@svhm.org.au
Aust Fam Physician. 2013 Aug;42(8):554-9.
Abstract
BACKGROUND: Myocardial infarction has a high rate of morbidity and mortality. There are major social, psychological and legal implications associated with the diagnosis of myocardial infarction (MI). OBJECTIVE: We present three case studies of different chest pain syndromes presenting with serum troponin elevation, and use these cases to form the basis of a review of the updated definition of MI. A practical approach to the diagnosis of myocardial infarction is also discussed. DISCUSSION: The measurement of serum troponin levels was a great diagnostic advance and provided powerful prognostic information. Although elevated serum troponin levels were originally considered pathognomonic of MI, it has become clear that highly sensitive troponin assays detected the presence of elevated troponin levels in the absence of MI. This has led to the recent 'Third universal definition of myocardial infarction' consensus document.
http://www.racgp.org.au/download/Documents/AFP/2013/Aug/201308xu.pdf
Documento de consenso de expertos. Tercera definición universal del infarto
de miocardio
http://pdf.revespcardiol.org/watermark/ctl_servlet?_f=10&pident_articulo=90185391&pident_usuario=0&pcontactid=&pident_revista=25&ty=162&accion=L&origen=cardio&web=http://www.revespcardiol.org&lan=es&fichero=25v66n02a90185391pdf001.pdf
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
Third universal definition of myocardial infarction: Update, caveats, differential diagnoses.
Tehrani DM, Seto AH.
Division of Cardiology, Department of Medicine, University of California at Irvine, Orange, CA; Long Beach Veteran's Affairs Medical Center, Long Beach, CA.
Cleve Clin J Med. 2013 Dec;80(12):777-86. doi: 10.3949/ccjm.80a.12158.
Abstract
Updated definitions of myocardial infarction (MI) reflect research on measuring cardiac troponin to diagnose MI. Elevations of this biomarker indicate cardiac injury but not always an acute coronary syndrome. Clinical judgment is needed to interpret increasingly sensitive biomarker assays appropriately. Here, we review the new MI definitions and the various causes of elevated troponin to enable physicians to differentiate acute coronary syndromes from other conditions.
http://www.ccjm.org/content/80/12/777.full.pdf
Redefiniendo el infarto agudo del miocardio. ¿Que hay de nuevo en tercera definicicón de la ESC/ACCF/AHA/WHF?
Redefining myocardial infarction: what is new in the ESC/ACCF/AHA/WHF Third Universal Definition of myocardial infarction?
Jneid H, Alam M, Virani SS, Bozkurt B.
Baylor College of Medicine, Houston, Texas ; Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas.
Methodist Debakey Cardiovasc J. 2013 Jul-Sep;9(3):169-72.
Abstract
Myocardial infarction (MI) is a major cause of mortality and morbidity worldwide. Each year, an estimated 785,000 persons will have a new MI in the United States alone, and approximately every minute an American will succumb to one.1 In addition, MI has major psychological and legal implications for patients and the society and is an important outcome measure in research studies. The prevalence of MI provides useful data regarding the burden of coronary artery disease and offers insight into health care planning, policy, and resource allocation. The importance of accurately and reproducibly defining MI is therefore self-evident. The Third Universal Definition of Myocardial Infarction (MI) expert consensus document was published in October 2012 by the global Myocardial Infarction Task Force.2 This landmark document was cosponsored by multiple cardiovascular societies and included both updated definitions and a modified classification of MI that have important clinical, epidemiological, and research implications. We hereby present a critical overview of this important document and summarize its key recommendations.
KEYWORDS: Third Universal Definition of Myocardial Infarction, acute coronary syndrome, cardiac troponin biomarkers, myocardial infarction, revascularization
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3782325/pdf/MDCVJ-09-169.pdf
¿Que significa la troponina elevada? Actualización en la deficición de infarto del miocardio
What does an elevated troponin mean?--An update on the definition of myocardial infarction.
Xu B, MacIsaac AI.
Department of Cardiology, St Vincent's Hospital, Melbourne, VIC, Australia. bo.xu@svhm.org.au
Aust Fam Physician. 2013 Aug;42(8):554-9.
Abstract
BACKGROUND: Myocardial infarction has a high rate of morbidity and mortality. There are major social, psychological and legal implications associated with the diagnosis of myocardial infarction (MI). OBJECTIVE: We present three case studies of different chest pain syndromes presenting with serum troponin elevation, and use these cases to form the basis of a review of the updated definition of MI. A practical approach to the diagnosis of myocardial infarction is also discussed. DISCUSSION: The measurement of serum troponin levels was a great diagnostic advance and provided powerful prognostic information. Although elevated serum troponin levels were originally considered pathognomonic of MI, it has become clear that highly sensitive troponin assays detected the presence of elevated troponin levels in the absence of MI. This has led to the recent 'Third universal definition of myocardial infarction' consensus document.
http://www.racgp.org.au/download/Documents/AFP/2013/Aug/201308xu.pdf
Documento de consenso de expertos. Tercera definición universal del infarto
de miocardio
http://pdf.revespcardiol.org/watermark/ctl_servlet?_f=10&pident_articulo=90185391&pident_usuario=0&pcontactid=&pident_revista=25&ty=162&accion=L&origen=cardio&web=http://www.revespcardiol.org&lan=es&fichero=25v66n02a90185391pdf001.pdf
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
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