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CURRENT OPINION European Heart Journal (2009) 30, 135–138 doi:10.1093/eurheartj/ehn517 Interpreting troponin elevations: do we need multiple diagnoses? 1,2 1,2 Gordon L. Pierpont and Edward O. McFalls 1 2 Cardiology Division, Minneapolis Veterans Administration Medical Center, 1 Veterans Drive, Minneapolis, MN 55417, USA; and Cardiology Division, Department of Medicine, University of Minnesota, Minneapolis, MN, USA Received 31 July 2008; accepted 23 October 2008; online publish-ahead-of-print 29 November 2008 Keywords Myocardial infarction † Troponin The expanded ability to detect myocardial injury using very sensi- damage associated with ST elevation (STEMI) from that occurring tive and specific biomarker assays has been a major factor in the without ST elevation (non-STEMI). Patients with a sudden change evolution of the definition of acute myocardial infarction (MI). in cardiac status are often admitted to the hospital with a This is clearly evident in the ‘Universal Definition of Myocardial diagnosis of acute coronary syndrome (ACS), but ACS is not Infarction’ recently developed by a joint task force of experts on included in the ICD-9-CM codes. Intermediate coronary behalf of the ESC, ACCF, AHA, and WHF (European Society of syndrome (code 411.1), which includes impending infarction, Cardiology, American College of Cardiology Foundation, Ameri- preinfarction angina, or unstable
European Heart Journal – Oxford University Press
Published: Jan 29, 2009
Keywords: Keywords Myocardial infarction Troponin
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