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Pathophysiology of NSTEMI vs STEMI: Pathophysiologically, NSTEMI is somewhat different from STEMI. NSTEMI occurs by developing a complete occlusion of a minor coronary artery or a partial occlusion of a major coronary artery previously affected by atherosclerosis. This causes a partial thickness damage of heart muscle.
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.