{"entities":{"Q42246":{"pageid":32614,"ns":120,"title":"Item:Q42246","lastrevid":144666,"modified":"2026-08-13T08:40:37Z","type":"item","id":"Q42246","labels":{"mul":{"language":"mul","value":"BA41"},"pt-br":{"language":"pt-br","value":"Infarto agudo do mioc\u00e1rdio"},"en":{"language":"en","value":"Acute myocardial infarction"}},"descriptions":{"pt-br":{"language":"pt-br","value":"O termo infarto do mioc\u00e1rdio (IM) agudo deve ser usado quando h\u00e1 evid\u00eancia de necrose mioc\u00e1rdica em um contexto cl\u00ednico consistente com isquemia mioc\u00e1rdica aguda. Nessas condi\u00e7\u00f5es, qualquer um dos crit\u00e9rios a seguir atende ao diagn\u00f3stico de IM; _x000D_ Detec\u00e7\u00e3o de aumento e/ou queda de valores de biomarcadores card\u00edacos com pelo menos um valor acima do 99\u00ba percentil do limite de refer\u00eancia superior e com pelo menos um dos seguintes; _x000D_ a. Sintomas de isquemia. _x000D_ b. Novas ou supostamente novas altera\u00e7\u00f5es significativas de segmento ST-onda T (ST-T) ou novo bloqueio de ramo esquerdo (BRE) no eletrocardiograma (ECG). _x000D_ c. Desenvolvimento de ondas Q patol\u00f3gicas no eletrocardiograma (ECG). _x000D_ d. Evid\u00eancia em exame de imagem de nova perda de mioc\u00e1rdio vi\u00e1vel ou nova anormalidade de movimento de parede regional. _x000D_ e. Identifica\u00e7\u00e3o de um trombo intracoron\u00e1rio por angiografia ou aut\u00f3psia. _x000D_ _x000D_ _x000D_ Infarto de qualquer localiza\u00e7\u00e3o do mioc\u00e1rdio, ocorrendo dentro de 4 semanas (28 dias) a partir do in\u00edcio de um infarto anterior (OMS)"},"en":{"language":"en","value":"The term acute myocardial infarction (MI) should be used when there is evidence of myocardial necrosis in a clinical setting consistent with acute myocardial ischemia. Under these conditions any one of the following criteria meets the diagnosis for MI; Detection of a rise and/or fall of cardiac biomarker values with at least one value above the 99th percentile upper reference limit and with at least one of the following; a. Symptoms of ischaemia. b. New or presumed new significant ST-segment-T wave (ST-T) changes or new left bundle branch block (LBBB)in the electrocardiogram (ECG). c. Development of pathologic Q waves in the electrocardiogram (ECG). d. Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality. e. Identification of an intracoronary thrombus by angiography or autopsy. Infarction of any myocardial site, occurring within 4 weeks (28 days) from onset of a previous infarction (WHO)"}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"784f3c143411c85f0b4c8384f7fe1f6ae6582925","datavalue":{"value":"https://id.who.int/icd/entity/1334938734","type":"string"},"datatype":"url"},"type":"statement","id":"Q42246$49CD63C8-1A33-4649-BBD7-074ABD081909","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"90c2a836d6533efe416ad4be60a4da5e10898540","datavalue":{"value":"CID11:BA41","type":"string"},"datatype":"string"},"type":"statement","id":"Q42246$A940B036-1B98-4DAF-9DD8-D0CE68E1B946","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"03df008e50870033af9b7610855e9925c6ebe044","datavalue":{"value":"dki-india-BA41","type":"string"},"datatype":"string"},"type":"statement","id":"Q42246$F0DC5C2D-5063-434C-A773-61E260A92516","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q42246$3F4FD494-1B6E-4C21-80C0-D5853D789292","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q42246$F4EE9AEE-BF14-410D-BF65-F169228BDBF6","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q42246$14A88C9B-7AB9-4FF4-BB17-ED491130565F","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"a8383bf50e251289c10a58872edd1eb5dfeeb5fc","datavalue":{"value":{"entity-type":"item","numeric-id":18168,"id":"Q18168"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q42246$21904D0D-20D9-4192-B5C9-E80E48F95EF8","rank":"normal"}]},"sitelinks":{}}}}