Update on ACC/ESC Criteria for Acute ST Elevation Myocardial Infarction

  • Peter W. Macfarlane
Conference paper


In 2000, the European Society of Cardiology and the American College of Cardiology jointly published [1] guidelines defining myocardial infarction. The definition was based partly on the availability of new biomarkers to assist in detecting myocardial damage. As part of their report, the criteria for acute ST elevation myocardial infarction were established. These provided thresholds for abnormal ST elevation in the 12-lead ECG. Table 1 summarises these criteria.


Individual Lead Posterior Axillary Line Glasgow Royal Infirmary Joint European Society Additional Chest 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    The Joint European Society of Cardiology/American College of Cardiology Committee (2000) Myocardial infarction redefined — A consensus document. Eur Heart J 21:1502–1513CrossRefGoogle Scholar
  2. 2.
    Macfarlane PW, Lawrie TDV (1989) The normal electrocardiogram and vectorcar-diogram. In: Macfarlane PW, Lawrie TDV (eds) Comprehensive electrocardiology. Pergamon Press, Oxford, p 445Google Scholar
  3. 3.
    Macfarlane PW (2001) Age, sex and the ST amplitude in health and disease. J Electrocardiol 34(Suppl):235–241PubMedCrossRefGoogle Scholar
  4. 4.
    Andersen HR, Nielsen D, Hansen LG (1987) The normal right chest electrocardiogram. J Electrocardiol 20:27–32PubMedCrossRefGoogle Scholar
  5. 5.
    Pipberger HV, Arzbaecher RC, Berson AS et al; Committee on Electrocardiography of the AHA (1975) Recommendations for standardization of leads and of specifications for instruments in electrocardiography and vectorcardiography. Circulation 52(Aug Suppl):11–31Google Scholar
  6. 6.
    Macfarlane PW, Devine B, Latif S et al (1990) Methodology of ECG interpretation in the Glasgow program. Meth Inform Med 29:354–361PubMedGoogle Scholar
  7. 7.
    Macfarlane PW, Browne D, Devine B et al (2004) Modification of ACC/ESC criteria for acute myocardial infarction. J Electrocardiol 37(Suppl):98–103PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • Peter W. Macfarlane
    • 1
  1. 1.Medical SciencesUniversity of GlasgowScotland, UK

Personalised recommendations