British Cardiac Society Working Group on the definition of myocardial infarction

Ann Clin Biochem 2004;41:263-271
© 2004 Royal Society of Medicine

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Discussion Document

KAA Fox,
J Birkhead,
R Wilcox,
C Knight and
JH Barth

University of Edinburgh, Edinburgh, UK;
Northampton General HospitalNorthampton, UK;
University Hospital NottinghamNottingham, UK;
The London Chest Hospital, London, UK;
Leeds General Infirmary, Leeds, UK

The British Cardiac Society commissioned this report to helpaddress inconsistencies in the terminology for acute coronarysyndromes and wide variations in the threshold for the diagnosisof myocardial infarction (MI) depending on the assay performed,the precision, and the sensitivity. In addition, several publicationshave highlighted potential problems with the application ofthe European Society of Cardiology (ESC)/ American College ofCardiology (ACC) consensus document published in 2000. A revisionprocess has been initiated under the guidance of the ESC, theACC, and the American Heart Association (AHA). The purpose ofthis report is to help inform the next revision of the ESC/ACC/AHAguidelines for the diagnosis of MI.

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