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Table 46.2

Universal Classification of Myocardial Infarction and Injury

Type 1Spontaneous infarction due to plaque rupture
Type 2Myocardial injury secondary to either increased oxygen demand or reduced supply, for example coronary spasm or embolism, arrhythmia, hypotension, anaemia, hypertension, respiratory failure
Type 3Sudden unexpected cardiac death associated with ECG changes or fresh thrombus in the coronary artery but occurring before an elevation in cardiac biomarkers
Type 4Associated with intervention either percutaneous (4a) or stent thrombosis (4b) or restenosis (4c)
Type 5Associated with coronary artery by-pass grafting (CABG)