AHA2018全球心肌梗死统一定义

AHA2007:WHO(ECG)(cTn),,,(ESC)(ACC)(AHA)(WHF)200710,1(cTn)()(URL)99,:;ECG[ST-T(LBBB)];ECGQ;2(),,STLBBB,(),3cTn(PCI),URL99,;URL993PCI4cTn(CABG),URL99,CABGURL995,:Q;LBBB;;5:1Q()2(),31(/)2()3(),,STLBBB,(),4aPCI4b5CABG:CABG,,,ECG20,,,,,,,,ECG(),(20,)2~4,/:(10%)(10%~30%)(30%),(6),5~6,,,:(<6)(6~7)(7~28)(29),ECG,ECGST-T,,T(cTnT)I(cTnI)(CK)(LDH),cTn,(1)cTnIcTnT,cTncTn,6~9,cTn12~24cTn7~14cTn,(CK-MB),,6~9CK-MBCK,,,CK-MB,cTn3~620%ST-TQ,LBBBBrugadaST,Q,ECGECGECGPRQRSSTTSTT,2TSTSTRTQ2ECGJST,J,,J(V1-V6)(aVF)(IaVL)V3RV4RST2,,ST,,STRSTQSTV1-V3STT,V7-V9ST0.1mV,,(V3RV4R),TST-T,LBBBECG(RBBB),V1-V3ST-T,STQ3,QQSQSTT,QQ<0.03s0.02s,0.1mV,TECGV1QS0~30,Q<0.03s<1/4R60~90,aVLQIaVLaVFV4-V6Q<0.03s<1/4RLBBBRBBB/QQSECG4202QST0.1mVSTPCIECGCABGST-T,Q,(MPS)(MRI)(PET)CT:,:-201-99m(MIBI)(18F-FDG),ECGMRIMRI,,,CT:CT,MRI:,;,ECG,95%~98%,,:,,MRI,1cTn,BR,,,,,,30%2ECG(LBBB)ST2STJ:V2-V30.2mV0.15mV,()0.1mVSTT2ST0.05mV,()2T0.1mVRR/S13ECGV2-V3Q0.02sQS(IaVLV6;V4-V6;aVF)Q0.03s,0.1mVQSV1-V2R0.04sR/S1T()4ECGLBBBBrugada,JMason-LikarQ()STLBBB