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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.
An ECG will show the following characteristics for an NSTEMI: depressed ST wave or T-wave inversion; no progression to Q wave; partial blockage of the coronary artery; A STEMI will show: elevated ST wave; progression to Q wave; full blockage of the coronary artery