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5] There are two main types of heart attack: non-ST-segment elevation, or NSTEMI, and ST-segment elevation, or STEMI. On the basis of evidence of heart muscle damage and changes in the ST-tracing of the ECG, ACS is classified into three categories: STEMI, NSTEMI, and UA.
For NSTEMI or less severe heart attacks and unstable angina women had lower 30 day mortality than men, he added. The main difference between UAP and NSTEMI is that in the setting of NSTEMI, macro or microvascular coronary flow is reduced enough to produce detectable myocardial necrosis. Using troponin assays, about 30% of patients who were once classified as having unstable angina are now classified as NSTEMI.