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Types of Acute Coronary Syndrome
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Acute Coronary Syndrome is a name given to three types of
coronary artery diseases that are associated with sudden rupture of plaque inside the coronary
artery: Unstable angina, Non-ST segment elevation myocardial infarction or heart attack (NSTEMI),
or ST segment elevation myocardial infarction or heart attack (STEMI).
The location of the blockage, the length of time that
blood flow is blocked and the amount of damage that occurs determines the type of acute coronary
syndrome. These life-threatening conditions most often require emergency medical
care.
is a new symptom or a change from stable angina. The
angina may occur more frequently, occur more easily at rest, feel more severe, or last longer.
Although this angina can often be relieved with oral medications, it is unstable and if not
treated timely may progress to a heart attack. Usually more intense medical treatment or a
procedure is required. Unstable angina is an acute coronary syndrome and should be treated as a
medical emergency.
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Heart attack: Non-ST segment elevation myocardial
infarction (NSTEMI):
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This heart attack, or MI, does not cause changes on an
electrocardiogram (ECG). However, chemical markers like Cardiac Troponin in the blood indicate
that damage has occurred to the heart muscle. In NSTEMI, the blockage may be partial or
temporary, and so the extent of the damage relatively minimal.
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Heart attack: ST segment elevation myocardial
infarction (STEMI):
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This heart attack, or MI, is caused by a prolonged period
of blocked blood supply. It affects a large area of the heart muscle, and so causes changes on
the ECG as well as in blood levels of key chemical markers. ST segment will elevate in chest
leads or arm leads of ECG depending upon location of heart muscle damage.
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