摘要
一、概述(一)定义根据第4版"心肌梗死全球定义"的标准,心肌梗死是指急性心肌损伤[血清心脏肌钙蛋白(cardiac troponin,cTn)升高和/或回落,且至少1次高于正常值上限(参考值上限值的99百分位值)],同时有急性心肌缺血的临床证据,包括:①急性心肌缺血症状;②新的缺血性心电图改变;③新发病理性Q波;④新的存活心肌丢失或室壁节段运动异常的影像学证据;⑤冠状动脉造影或腔内影像学检查或尸检证实冠状动脉血栓[1]。
作者
无
刘震宇
胡大一
无;Liu Zhenyu;Hu Dayi(Chinese Medical Association;Chinese Medical Journals Publishing House;Chinese Society of General Practice;Editorial Board of Chinese Journal of General Practitioners of Chinese Medical Association;Expert Group of Guidelines for Primary Care of Cardiovascular Disease;Department of Cardiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Institute of Cardiovascular Disease,Peking University People's Hospital,Beijing 100044,China)
出处
《中华全科医师杂志》
2020年第12期1092-1099,共8页
Chinese Journal of General Practitioners
