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• Acute myocardial infarction (AMI) is one of the leading causes of death in the United States.
• The purpose of this study was to examine methods of clinical differentiation between ST-segment elevation myocardial infarction (STEMI) and non-STEMI (NSTEMI) and then to compare the various treatment methods and subsequent outcomes in STEMI versus NSTEMI.
• A compilation of systematic reviews, medical journals, practice guidelines, medical texts and meta-analyses were researched for the purpose of this study.
• NSTEMI patients are older, have more comorbidities and present with more atypical symptoms than STEMI patients.
• NSTEMI patients are treated less aggressively than STEMI patients both in-hospital and after discharge.
• Based on current practices, NSTEMI mortality and major adverse cardiac events (MACE) rates are higher than in STEMI patients.
• Recent coronary angiography (CAG) outcome comparisons generally show similar mortality and hazard ratios and suggest better revascularization in NSTEMI than in STEMI.
• Early invasive treatment in NSTEMI has shown more positive results than late invasive treatment and is most effective in intermediate- to high-risk patients.
Physician Assistant Studies
Master of Physician Assistant Studies (MPAS)
Acute Coronary Syndrome; Myocardial Infarction; Non-ST Elevated Myocardial Infarction; ST Elevation Myocardial Infarction; Treatment Outcome; Comparative Study
Swenson, Kevin D., "Acute Myocardial Infarction: Are we overlooking NSTEMI?" (2014). Physician Assistant Scholarly Project Posters. 128.