According to the fourth global definition ESC / ACCF / AHA / WHF in 2018: AMI is defined as acute myocardial injury accompanied by clinical evidence of myocardial ischemia, meaning as elevation and / or decrease in troponin levels with at least one value higher than the 99th percentile referenced above, accompanied by at least one of the following: - Symptoms of myocardial ischemia - New ischemic type electrocardiogram changes - A pathological Qwave recorded 3 - A new imaging evidence of dysfunctional myocardium or regional dyskinesia in a setting consistent with ischemia. - Coronary thromboembolism was noted during coronary angiography or autopsies STEMI is diagnosed when there is an ECG ST-segment elevation change and an increase and / or decrease in cardiac troponin values with at least one value above the 99th percentile upper term.