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

Sandoval, Yader; Smith, Stephen W; Thordsen, Sarah E; Apple, Fred S · J Am Coll Cardiol · 2014

review · Level V

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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.

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