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- ArticleRighetti A, Crawford M, Schelbert H, Henning H, O'Rourke R, Ashburn W, Ross J.Schweiz Med Wochenschr. 1977 Nov 05;107(44):1596-7.Two sets of criteria are developed for the diagnosis of perioperative myocardial infarction: 1) new, persistent Q waves and either an elevated 48-hour MB-CPK area or a positive pyrophosphate scan, 2) severe ischemic ST-T wave changes and both elevated MB-CPK area and a positive scan.