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July 2009 Br J Cardiol 2009;16:192–3

Coronary artery disease – need for better terminology

George Thomas

Abstract

Introduction Coronary artery disease (CAD) forms the bulk of adult cardiology. Spectacular advances have been made in the diagnosis and treatment of CAD, but the diagnostic terminology has not kept pace with these developments. The babel of terms like Q-wave infarction, non-Q infarction, ST elevation infarction, non-ST elevation infarction, etc. does not reflect the present-day realities. The term ‘acute coronary syndrome’ is too vague. A case of acute myocardial infarction successfully reperfused is no longer an ‘infarction’. There is a need to describe these cases of ‘aborted infarctions’ and ‘threatened infarctions’.1 A pro

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