Clinical significance of diagnosisof “type 2 myocardial infarction”

Authors: Barbarash O.L.1, 2

Company: 1Research Institute for Complex Issues of Cardiovascular Diseases, Sosnovyy bul'var, 6, Kemerovo, 650002, Russian Federation;
2Kemerovo State Medical University, ulitsa Voroshilova, 22a, Kemerovo, 650056, Russian Federation

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Type:  Editorial article


DOI: https://doi.org/10.24022/1997-3187-2019-13-4-297-307

For citation: Barbarash O.L. Clinical significance of diagnosis of “type 2 myocardial infarction”. Creative Cardiology. 2019; 13 (4): 297–307 (in Russ.). DOI: 10.24022/1997-3187-2019-13-4-297-307

Received / Accepted:  01.12.2019/16.12.2019

Keywords: universal definition of myocardial infarction myocardial injury type 2 myocardial infarction

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Abstract

The article traces the history and evolution of the concepts of the definition of myocardial infarction (MI). Prerequisites for the formation of four universal definitions of myocardial infarction are presented. The main differences in the underlying mechanisms and diagnostic criteria for type 1 and 2 MI are stated. The article presents data on the incidence of type 2 MI, its diagnostic principles and treatment strategies. The results of various register studies are demonstrated, which reflect the typical structure and prognosis for various types of myocardial infarction. The arguments supporting the need for further researches to clarify various phenotypes of myocardial infarction are provided, as well as treatment approaches and secondary prevention.

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About Authors

Ol'ga L. Barbarash, Dr. Med. Sc., Professor, Corresponding Member of Russian Academy of Sciences, Head of Department of Cardiology and Cardiovascular Surgery at the Kemerovo State Medical University, Director of the Research Institute for Complex Issues of Cardiovascular Diseases, ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery