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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.
With unstable angina and NSTEMI, the blockage is not (yet) complete. Clinically, NSTEMI is identical to unstable angina except for one thing. In NSTEMI, in contrast to unstable angina, the cardiac enzyme blood tests are abnormal, indicating that at least some actual cell damage is occurring to heart muscle cells.