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J Am Coll Cardiol. 2014 May 27;63(20):2079-2087. doi: 10.1016/j.jacc.2014.02.541. Epub 2014 Mar 13.

Supply/demand type 2 myocardial infarction: should we be paying more attention?

Author information

1
Division of Cardiology, Department of Medicine, Hennepin County Medical Center, Minneapolis, Minnesota. Electronic address: yader.sandoval@hcmed.org.
2
Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota.
3
Division of Cardiology, Department of Medicine, Hennepin County Medical Center, Minneapolis, Minnesota.
4
Department of Laboratory Medicine and Pathology, Hennepin County Medical Center and University of Minnesota, Minneapolis, Minnesota.

Abstract

Supply/demand (type 2) myocardial infarction is a commonly encountered clinical challenge. It is anticipated that it will be detected more frequently once high-sensitivity cardiac troponin assays are approved for clinical use in the United States. We provide a perspective that is based on available data regarding the definition, epidemiology, etiology, pathophysiology, prognosis, management, and controversies regarding type 2 myocardial infarction. Understanding these basic concepts will facilitate the diagnosis and treatment of these patients as well as ongoing research efforts.

KEYWORDS:

acute coronary syndrome(s); myocardial infarction; troponin

PMID:
24632278
DOI:
10.1016/j.jacc.2014.02.541
[Indexed for MEDLINE]
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