fcmedicineФундаментальная и клиническая медицинаFundamental and Clinical Medicine2500-07642542-0941КемГМУfcmedicine-120Research ArticleСтатьиЧЕТВЕРТОЕ УНИВЕРСАЛЬНОЕ ОПРЕДЕЛЕНИЕ ИНФАРКТА МИОКАРДА. ФОКУС НА ИНФАРКТ МИОКАРДА 2-ГО ТИПАFOURTH UNIVERSAL DEFINITION OF MYOCARDIAL INFARCTION. FOCUS ON THE TYPE 2 MYOCARDIAL INFARCTIONБарбарашО. Л.BarbarashOLGA L.noemail@neicon.ruКашталапВ. В.KashtalapVASILIY V.noemail@neicon.ruФГБНУ «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»; ФГБОУ ВО «Кемеровский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияResearch Institute for Complex Issues of Cardiovascular Diseases; Kemerovo State Medical UniversityRussian Federation201830122018347382Copyright © Барбараш О.Л., Кашталап В.В., 20182018Барбараш О.Л., Кашталап В.В.Barbarash O.L., Kashtalap V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://fcm.kemsmu.ru/jour/article/view/120

Представлен обзор истории развития современных представлений о дефиниции диагноза инфаркт миокарда (ИМ), кратко изложены особенности всех редакций международных согласительных документов по универсальному определению ИМ, указано на особую значимость представлений об ИМ 2 типа и описаны клинические сложности, связанные с ведением пациентов с этим диагнозом, обоснована определяющая роль маркеров некроза миокарда (высокочувствительные тропонины) в выявлении ИМ, дано понятие о различиях терминов «инфаркт миокарда» и «повреждение миокарда».

Here we review the current concept on the definition of myocardial infarction (MI) and its diagnosis. We briefly highlight features of all international documents on the universal definition of MI and specify type 2 MI as a particularly difficult form. We then consider clinical difficulties in providing medical care to these patients and underline the crucial importance of myocardial necrosis biomarkers (high-sensitivity troponins) in MI diagnosis. Finally, we talk about the principles of distinguishing MI from myocardial injury.

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The authors declare that there are no conflicts of interest present.