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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.
If the hospital determines you had an NSTEMI heart attack, doctors typically use one of two treatment strategies. One is called an âischemia-guided strategyâ, the other an âearly invasive strategyâ. Both may involve a test called cardiac catheterization to examine the inside of your heart.