2016
DOI: 10.1515/dx-2016-0024
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State-of-the-art diagnosis of myocardial infarction

Abstract: Abstract:The current version of the Universal Definition of Myocardial Infarction (MI) was published in 2012. An acute myocardial infarction (AMI) is characterized by evidence of myocardial necrosis in a clinical setting of acute myocardial ischemia. Diagnostic criteria include a rise and/or fall of serially tested cardiac biomarkers (preferentially cardiac troponins) with at least one value above the 99th percentile of the upper reference limit combined with symptoms of ischemia, new changes on electrocardiog… Show more

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Cited by 32 publications
(36 citation statements)
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“…Damage of cardiomyocytes caused by acute and persistent hypoxia has been found to play key roles in the occurrence and development of MI 1,22 . Herein, we revealed that SF I, a flavonoid extracted from the root of Scutellaria baicalensis , could mitigate rat embryonic ventricular myocardium-derived H9c2 cell and primary cardiomyocytes proliferation inhibition and apoptosis caused by hypoxia.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Damage of cardiomyocytes caused by acute and persistent hypoxia has been found to play key roles in the occurrence and development of MI 1,22 . Herein, we revealed that SF I, a flavonoid extracted from the root of Scutellaria baicalensis , could mitigate rat embryonic ventricular myocardium-derived H9c2 cell and primary cardiomyocytes proliferation inhibition and apoptosis caused by hypoxia.…”
Section: Discussionmentioning
confidence: 99%
“…Myocardial infarction (MI) is a serious heart disease in which blood perfusion to the heart is reduced, resulting in decreased oxygen supplement to cardiomyocytes. 1,2 It is the most common reason for sudden death and characterized by massive cardiomyocytes damage and apoptosis. 3 Moreover, the damaged cardiomyocytes will be replaced by fibrous tissue after MI, which cannot carry out normal functions of cardiomyocytes and contributes to the formation and development of chronic ischemic heart diseases.…”
Section: Introductionmentioning
confidence: 99%
“…Most of the MI occurs due to coronary artery disease and the risk factors include hypertension, family history, smoking, diabetes, obesity, hyperlipidemia, and so on . Usually, the complete blocking of a coronary arteries by atherosclerotic plaque rupture is the potential mechanism . However, the detailed mechanism for the occurrence of MI is still under investigation.…”
Section: Introductionmentioning
confidence: 99%
“…3 Usually, the complete blocking of a coronary arteries by atherosclerotic plaque rupture is the potential mechanism. 3,5 However, the detailed mechanism for the occurrence of MI is still under investigation.…”
Section: Introductionmentioning
confidence: 99%
“…Among all currently known laboratory biomarkers of AMI, 10,24,[29][30][31] cardiac troponins remain the most demanded ones in clinical practice; however, they are not devoid of several disadvantages, among which the following ones are worth mentioning: 1) relatively late time of establishing the fact of cardiomyocyte damage or death, 2) insufficient specificity in relation to ischemic necrosis of cardiomyocytes in AMI, and this is manifested by the fact that at the early stages of examination it is almost impossible to establish the cause and mechanism of cardiac muscle damage, which is key to making a correct diagnosis, 3) lack of standardization of existing methods of determination, which is expressed by the fact that diagnostic tests of different manufacturers, having different analytical characteristics, give different results in samples received from the same patient, and in some cases, in particular during transportation or transfer of patients to another hospital, that does not allow to assess dynamic changes of cTnI and cTnT levels.…”
Section: Cardiac-specific Troponins (Ctni and Ctnt) As Laboratory Biomarkers Of Myocardial Injury: Practical Application Possibilitiesmentioning
confidence: 99%