iarjmsIARJMSIARJMS2708-3594https://doi.org/10.47310/iarjms.2021.v02i02.033Management of Acute Mycardial Infarction: The Present Scenario and Way AheadAmanSharmaShilpaSharmaThe definition of MI requires cardiac myocyte necrosis with an increase and/or a decrease in plasma of cardiac troponin (cTn). At least one cTn measurement should be greater than the 99th percentile normal reference limit during: (1) symptoms of myocardial ischemia, (2) new (or presumably new) significant ECG ST-segment/T-wave changes or left bundle branch block, (3) the development of pathological electrocardiographic (ECG) Q waves, (4) new loss of viable myocardium or regional wall motion abnormality identified by an imaging procedure; or (5) identification of intracoronary thrombus by angiography or autopsy.