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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.
Because the ST segment on the ECG does not become elevated in this condition, it is called a non-ST-segment elevation myocardial infarction, or NSTEMI. When the blood clot that forms during ACS completely blocks the artery, all the heart muscle supplied by the artery begins to die. This, the most severe consequence of an ACS, is called a STEMI. In many cases, a STEMI is preceded (by hours, days or weeks) by unstable angina and/or an NSTEMI.