Armin Newby
Myocardial injury is common in patients without acute coronary syndrome, and worldwide recommendations indicate that patients with a myocardial infarction be categorized according to the cause. Patients who have a myocardial infarction due to plaque rupture (Type 1) are distinguished from those who have a myocardial oxygen supply-demand imbalance (Type 2) as a result of other acute diseases. Acute or chronic myocardial damage refers to patients who have myocardial necrosis but no symptoms or evidence of myocardial ischemia. Because the diagnostic criteria for type 2 myocardial infarction contain a wide range of appearances and the ramifications of the diagnosis are unknown, this categorization has not been extensively accepted in practice. Myocardial damage and type 2 myocardial infarction, on the other hand, are common, affecting more than one-third of all hospitalized patients. The short and long term results of these patients are terrible, with two-thirds of them dying within five years. The classification of myocardial infarction patients is still changing, and future guidelines are anticipated to emphasize the importance of detecting coronary artery disease in type 2 MI. Clinicians should investigate if coronary artery disease played a role in myocardial infarction because some patients will benefit from additional research, and focused secondary prevention
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