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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.
The non-ST elevation acute coronary syndromes (ACS; unstable angina [UA] and non-ST elevation [non-Q wave] myocardial infarction [NSTEMI]) occur in a variety of clinical settings. The definitions of and classification systems for UA and NSTEMI and their use to assess risk will be reviewed here.