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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.
They are not intended to supplant physician judgement with respect to particular patients or special clinical situations.â. -IDSA/ATS Guidelines 2016. A 73 year old man is admitted from a nursing home for an NSTEMI and is treated on the telemetry floor.