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European Heart Journal 2003 24(13):1177-1179; doi:10.1016/S0195-668X(03)00264-1
Copyright © 2003 by the European Society of Cardiology.
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Editorial

Myocardial infarction: why can’t we get the diagnosis right?

Cheuk-Kit Wonga and Harvey D. Whiteb,*

a Cardiology Department, Dunedin Hospital, Dunedin, New Zealand
b Cardiology Department, Green Lane Hospital, Auckland, New Zealand

* Corresponding author. Professor Harvey White, Cardiology Department, Green Lane Hospital, Private Bag 92189, Auckland 1030, New Zealand. Tel.: +64-9-630 9992; fax:+64-9-630 9915
E-mail address: harveyw@adhb.govt.nz

Received 14 May 2003; accepted 16 May 2003

The first 10% of the full text of this article appears below.

See doi:10.1016/S1095-668X(03)00204-5 for the article to which this editorial refers

A joint consensus statement redefining acute myocardial infarction (MI) was published on 4 September 2000 by the European Society of Cardiology (ESC) and the American College ofCardiology (ACC).1The new definition of MI relies heavily upon measurements of sensitive and specific markers of myocardial injury (primarily the troponins) in the appropriate clinical context. In this issue of the journal, Hasdai et al. present an analysis of data collected in the prospective Euro-Heart Survey of Acute Coronary Syndromes, which included 10 484 patients treated in 103 hospitals in 25 European and Mediterranean-basin countries between September 2000 and May 2001.2There were three major findings. First, cardiac troponin assays were performed in only 63.3% of patients, and the promulgation of the new definition in . . . [Full Text of this Article]


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