Open AccessA counterpoint paper: Comments on the electrocardiographic part of the 2018 Fourth Universal Definition of Myocardial Infarction endorsed by the International Society of Electrocardiology and the International Society for Holter and Noninvasive Electrocardiology
Author(s) -
Birnbaum Yochai,
Fiol Miguel,
Nikus Kjell,
Garcia Niebla Javier,
Bacharova Ljuba,
Dubner Sergio,
Zareba Wojciech,
Macfarlane Peter W.,
Ribeiro Antonio Luiz,
Cygankiewicz Iwona,
Bayes de Luna Antoni
Publication year - 2020
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12786
Subject(s) - medicine , myocardial infarction , cardiology , triage , risk stratification , intensive care medicine , electrocardiography , myocardial infarction diagnosis , medical emergency
The Fourth Universal Definition of Myocardial Infarction (FUDMI) focuses on the distinction between nonischemic myocardial injury and myocardial infarction (MI), along with the role of cardiovascular magnetic resonance, in order to define the etiology of myocardial injury. As a consequence, there is less emphasis on updating the parts of the definition concerning the electrocardiographic (ECG) changes related to MI. Evidence of myocardial ischemia is a prerequisite for the diagnosis of MI, and the ECG is the main available tool for (a) detecting acute ischemia, (b) triage, and (c) risk stratification upon presentation. This review focuses on multiple aspects of ECG interpretation that we firmly believe should be considered for incorporation in any future update to the Universal Definition of MI.