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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.
Description. 1  Non-ST elevation myocardial infarction (NSTEMI) is considered to be closely related to the pathogenesis and clinical presentation of unstable angina (UA). 2  NSTEMI is defined by electrocardiographic ST-segment depression or prominent T-wave inversion and/or elevation of cardiac biomarkers in the absence of ST-segment elevation. The elevation of cardiac biomarkers may not be detectable for hours after presentation.