ESC Conference: New MI Classification

The European Society of Cardiology, in collaboration with global associations concerned with human heart health, has established a new international definition for myocardial infarction (heart attack) aimed at improving diagnosis, treatment, and understanding of the condition more accurately. This new definition relies on classifying cases into three main clinical categories: primary infarction caused by a direct issue with blood flow; secondary infarction resulting from an imbalance between oxygen supply and demand; and infarction related to medical procedures within 30 days of cardiac treatment or surgery. This simplified classification is designed to facilitate rapid diagnosis, reduce discrepancies, and focus on identifying the underlying cause while helping patients better understand their health status. The approach enhances diagnostic accuracy, supports scientific research, and contributes to improved healthcare planning—especially since it aligns with the ICD-11 international classification of diseases. This alignment also makes data collection and research easier, including in rare cases such as spontaneous coronary artery dissection, which predominantly affects women.

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