Myocardial infarction

Type 1—Spontaneous myocardial infarction related to ischaemia caused by a primary coronary event, such as plaque fissuring or rupture
Type 2—Myocardial infarction secondary to ischaemia resulting from an imbalance between oxygen demand and supply, such as coronary spasm
Type 3—Sudden death from cardiac disease with symptoms of myocardial ischaemia, accompanied by new ST elevation or left bundle branch block, or verified coronary thrombus by angiography. In this type of myocardial infarction death occurs before blood samples can be obtained
Type 4—Myocardial infarction associated with primary percutaneous coronary intervention
Type 5—Myocardial infarction associated with coronary artery bypass graft

After discharge from hospital, all patients should undergo assessment and, if appropriate, be referred to the heart manual system.

Confirmed myocardial infarction
Able to speak and read English
No known previous history of psychiatric illness
No current psychotic symptoms no evidence of dementia
No continuing uncontrolled arrhythmias or heart failure as assessed by a cardiologist.