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. 2021 Apr 15;33(1):9–15. doi: 10.37616/2212-5043.1232

Table 1.

4th universal definition of myocardial infarction.

Acute myocardial infarction includes the following criteria:
  1. Acute myocardial injury with clinical evidence of acute myocardial ischemia, and

  2. With detection of a rise and/or fall of cardiac troponin with at least one value above the 99th percentile upper reference limit, and

  3. With at least one of the following:

    • - Symptoms of myocardial ischemia

    • - New ischemic changes on electrocardiogram

    • - Development of pathological Q waves

    • - Imaging evidence of new loss of viable myocardium or regional wall motion abnormality in a pattern consistent with an ischemic etiology

    • - The identification of a coronary thrombus by angiography or autopsy

Reference: Thygesen et al. (2018) [10].