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Type 2 myocardial infarction. Potential hazards of nomenclature systems: User discretion advised

  • Yader Sandoval
    Correspondence
    Corresponding author at: 701 Park Avenue, Minneapolis, MN 55415 — Orange Building 5th Floor, Division of Cardiology, Department of Medicine, Hennepin County Medical Center, Minneapolis, MN, United States.
    Affiliations
    Division of Cardiology, Department of Medicine, Hennepin County Medical Center, Minneapolis, MN, United States
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  • Fred S. Apple
    Affiliations
    Department of Laboratory Medicine and Pathology, Hennepin County Medical Center, Minneapolis, MN, United States
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  • Stephen W. Smith
    Affiliations
    Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, United States
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Published:November 06, 2014DOI:https://doi.org/10.1016/j.ijcard.2014.11.056
      The most urgent priority in the early evaluation of patients with possible acute coronary syndrome (ACS) is to identify those with new ST-segment elevation (STE) who should be considered for immediate reperfusion therapy [
      • Adams C.D.
      • Antman E.M.
      • Bridges C.R.
      • Califf R.M.
      • Casey Jr., D.E.
      • Chavey II, W.E.
      • Fesmire F.M.
      • Hochman J.S.
      • Levin T.N.
      • Lincoff A.M.
      • Peterson E.D.
      • Theroux P.
      • Wenger N.K.
      • Wright R.S.
      • Jneid H.
      • Ettinger S.M.
      • Ganiats T.G.
      • Philippides G.J.
      • Jacobs A.K.
      • Halperin J.L.
      • Albert N.M.
      • Creager M.A.
      • DeMets D.
      • Guyton R.A.
      • Kushner F.G.
      • Ohman E.M.
      • Stevenson W.
      • Yancy C.W.
      2012 ACCF/AHA focused update incorporated into the ACCF/AHA 2007 guidelines for the management of patients with unstable angina/non-ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.
      ,
      • American College of Emergency Physicians
      • Society for Cardiovascular Angiography and Interventions
      • O'Gara P.T.
      • Kushner F.G.
      • Ascheim D.D.
      • Casey Jr., D.E.
      • Chung M.K.
      • de Lemos J.A.
      • Ettinger S.M.
      • Fang J.C.
      • Fesmire F.M.
      • Franklin B.A.
      • Granger C.B.
      • Krumholz H.M.
      • Linderbaum J.A.
      • Morrow D.A.
      • Newby L.K.
      • Ornato J.P.
      • Ou N.
      • Radford M.J.
      • Tamis-Holland J.E.
      • Tommaso C.L.
      • Tracy C.M.
      • Woo Y.J.
      • Zhao D.X.
      • Anderson J.L.
      • Jacobs A.K.
      • Halperin J.L.
      • Albert N.M.
      • Brindis R.G.
      • Creager M.A.
      • DeMets D.
      • Guyton R.A.
      • Hochman J.S.
      • Kovacs R.J.
      • Kushner F.G.
      • Ohman E.M.
      • Stevenson W.G.
      • Yancy C.W.
      ACCF/AHA guideline for the management of st-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.
      ]. On the other hand, in the absence of STE, clinicians can risk stratify non-ST-segment elevation myocardial infarction (NSTEMI) and unstable angina into either an early invasive strategy (diagnostic angiography with intent to perform revascularization) or a conservative strategy (selectively invasive) [
      • American College of Emergency Physicians
      • Society for Cardiovascular Angiography and Interventions
      • O'Gara P.T.
      • Kushner F.G.
      • Ascheim D.D.
      • Casey Jr., D.E.
      • Chung M.K.
      • de Lemos J.A.
      • Ettinger S.M.
      • Fang J.C.
      • Fesmire F.M.
      • Franklin B.A.
      • Granger C.B.
      • Krumholz H.M.
      • Linderbaum J.A.
      • Morrow D.A.
      • Newby L.K.
      • Ornato J.P.
      • Ou N.
      • Radford M.J.
      • Tamis-Holland J.E.
      • Tommaso C.L.
      • Tracy C.M.
      • Woo Y.J.
      • Zhao D.X.
      • Anderson J.L.
      • Jacobs A.K.
      • Halperin J.L.
      • Albert N.M.
      • Brindis R.G.
      • Creager M.A.
      • DeMets D.
      • Guyton R.A.
      • Hochman J.S.
      • Kovacs R.J.
      • Kushner F.G.
      • Ohman E.M.
      • Stevenson W.G.
      • Yancy C.W.
      ACCF/AHA guideline for the management of st-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.
      ].

      Keywords

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