Diagnostic re-classification and prognostic risk stratification of patients with acute chest pain

Unstable angina and myocardial infarction are prevalent manifestations of acute coronary artery disease, combined in the term ‘acute coronary syndromes’. The introduction of sensitive markers for myocardial necrosis has led to confusion regarding the distinction between small myocardial infarctions...

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Bibliographic Details
Published in:Netherlands heart journal 2019-11, Vol.27 (11), p.575-580
Main Author: Deckers, J. W.
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Age
Angina pectoris
Biomarkers
Cardiology
Cardiomyopathy
Cardiovascular disease
Classification
Heart attacks
Ischemia
Medical diagnosis
Medical Education
Medical prognosis
Medicine
Medicine & Public Health
Mortality
Pain
Pathophysiology
Short Communication
Womens health
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Summary:Unstable angina and myocardial infarction are prevalent manifestations of acute coronary artery disease, combined in the term ‘acute coronary syndromes’. The introduction of sensitive markers for myocardial necrosis has led to confusion regarding the distinction between small myocardial infarctions and ‘true’ unstable angina, and the application of ever more sensitive markers has accelerated the pace at which patients with unstable angina are being re-classified to non-ST-segment elevation myocardial infarction. But in how many patients with acute chest pain is myocardial ischaemia really the cause of their symptoms? Numerous studies have shown that most have
ISSN:1568-5888
1876-6250
DOI:10.1007/s12471-019-01328-6