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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
World Health Organization definition of myocardial infarction: 2008-09 revision
International Journal of Epidemiology, Volume 40, No. 1, Article dyq165, Year 2011
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Description
Background: WHO has played a leading role in the formulation and promulgation of standard criteria for the diagnosis of coronary heart disease and myocardial infarction since early 1970s. Methods: The revised definition takes into consideration the following: well-resourced settings can use the ESC/ACC/AHA/WHF definition, which has new biomarkers as a compulsory feature; in resource-constrained settings, a typical biomarker pattern cannot be made a compulsory feature as the necessary assays may not be available; the definition must also have provision for diagnosing non-fatal events with incomplete information on cardiac biomarkers and the ECG; to facilitate epidemiologic monitoring definition must recognize fatal events with incomplete or no information on cardiac biomarkers and/or ECG and/or autopsy and/or coronary angiography. Results: Category A definition is the same as ESC/ACC/AHA/WHF definition of MI, and can be applied to settings with no resource constraints. Category B definition of MI is to be applied whenever there is incomplete information on cardiac bio-markers together with symptoms of ischaemia and the development of unequivocal pathological Q waves. Category C definition (probable MI) is to be applied when individuals with MI may not satisfy Category A or B definitions because of delayed access to medical services and/or unavailability of electrocardiography and/or laboratory assay of cardiac biomarkers. In these situations, the term probable MI should be used when there is either ECG changes suggestive of MI or incomplete information on cardiac biomarkers in a person with symptoms of ischaemia with no evidence of a non-coronary reason. Conclusions: This article presents the 2008-09 revision of the World Health Organization (WHO) definition of myocardial infarction (MI) developed at a WHO expert consultation. © The Author 2010. Published by Oxford University Press on behalf of the International Epidemiological Association. All rights reserved.
Authors & Co-Authors
Mendis, Shanthi
Unknown Affiliation
Thygesen, Kristian A.
Unknown Affiliation
Kuulasmaa, Kari A.
Unknown Affiliation
Giampaoli, Simona
Unknown Affiliation
Mahonen, Markku
Unknown Affiliation
Blackett, Kathleen Ngu
Unknown Affiliation
Liu, Lisheng Strategies For Ischemic Syndromes Registry
Unknown Affiliation
Statistics
Citations: 414
Authors: 7
Affiliations: 7
Identifiers
Doi:
10.1093/ije/dyq165
ISSN:
03005771
e-ISSN:
14643685
Research Areas
Health System And Policy
Noncommunicable Diseases