Fourth Universal Definition of Myocardial Infarction (2018)

Published: August 25, 2018

ECG interpretation in the intensive care
  • This follow up to the Third Definition of Myocardial Infarction (2012) includes new concepts in differentiating myocardial infarction from myocardial injury, electrical remodeling and arrhythmias, and the use of imaging as a diagnostic tool.
  • Updated information regarding the definition of Type 1-5 myocardial infarction, high-sensitivity cardiac troponin assays and rule-in/rule-out protocols is provided.
  • This update includes new sections on: Takotsubo syndrome, myocardial infarction with non-obstructive coronary arteries (MINOCA), chronic kidney disease, atrial fibrillation, regulatory perspectives on myocardial infarction, and silent or unrecognized myocardial infarction.