PDF 4 Universal Definition of Myocardial Infarction: New Terms ...

4th Universal Definition of Myocardial Infarction: New Terms, Updated Definitions, and Alternative Focus Areas for Query

Garry Huff, MD, CCS, CCDS President Enjoin Germantown, TN

Christopher Huff, MD, FACC, RPVI Interventional Cardiology Riverside Methodist Hospital Columbus, OH

1 2019 Copyright, HCPro, a division of Simplify Compliance LLC, and/or session presenter(s). All rights reserved. These materials may not be copied without written permission.

Learning Objectives

? At the completion of this educational activity, the learner will be able to:

? Define acute myocardial infarction ? Distinguish the types of acute myocardial infarction ? Recognized the impact of acute myocardial infarction on payment and Medicare

Hospital Centric Quality Metrics

2 2019 Copyright, HCPro, a division of Simplify Compliance LLC, and/or session presenter(s). All rights reserved. These materials may not be copied without written permission.

Definition of Myocardial Infarction

Circulation 2018; 138: e618?e651 ("Fourth Universal Definition of Myocardial Infarction")

3 2019 Copyright, HCPro, a division of Simplify Compliance LLC, and/or session presenter(s). All rights reserved. These materials may not be copied without written permission.

Acute Myocardial Infarction (Acute MI)

Both acute myocardial injury

and clinical ischemia must be

present to meet the definition of

acute MI.

Acute Myocardial Injury

Clinical Myocardial Ischemia

ACUTE MI

4 2019 Copyright, HCPro, a division of Simplify Compliance LLC, and/or session presenter(s). All rights reserved. These materials may not be copied without written permission.

Definition of Acute Myocardial Infarction

Injury Clinical Ischemia

"Cardiac biomarkers (troponin)"**

AND

Symptoms

OR

New EKG findings

OR

Imaging studies/autopsy

**Biomarkers not required in defining AMI in setting of sudden cardiac death (type 3)

5 5

2019 Copyright, HCPro, a division of Simplify Compliance LLC, and/or session presenter(s). All rights reserved. These materials may not be copied without written permission.

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