Great debate: myocardial infarction after cardiac surgery must be redefined

Eur Heart J. 2024 Oct 14;45(39):4170-4177. doi: 10.1093/eurheartj/ehae416.

Abstract

Pros and cons of redefining peri-operative myocardial infarction (PMI) to cardiac troponin (cTn) levels of at least 130–170× 99th percentile upper reference limit (URL). CABG, coronary artery bypass grafting; CK–MB, creatine kinase–myocardial band; ECG, electrocardiogram; MI, myocardial infarction; UDMI, universal definition of myocardial infarction.

Keywords: Cardiac surgery; Definition; Myocardial injury; Perioperative myocardial infarction.

MeSH terms

  • Cardiac Surgical Procedures* / adverse effects
  • Humans
  • Myocardial Infarction* / etiology
  • Postoperative Complications / etiology