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Unstable Angina and Non-ST Elevation Myocardial Infarction

  • Jeremy Robbins
  • Eli V. Gelfand
Chapter
Part of the Contemporary Cardiology book series (CONCARD)

Abstract

Unstable angina (UA) and non-ST elevation myocardial infarction (NSTEMI) represent part of the acute coronary syndrome (ACS) spectrum that also includes ST elevation myocardial infarction (STEMI). Combined, UA and NSTEMI are known as non-ST elevation acute coronary syndrome (NSTE-ACS). Recent estimates suggest that 1.14 million hospitalizations occurred for ACS events in 2010 in the United States, with 813,000 for myocardial infarction. Of those patients with elevated cardiac biomarkers suggestive of MI, at least one-half may be classified as NSTEMI, and its percentage appears to be rising. Among the NSTE-ACS, the development of more sensitive cardiac biomarker assays, in particular cardiac-specific troponin, has led to increased detection of NSTEMIs.

Keywords

Atherosclerotic plaque Unstable angina NSTEMI Myocardial infarction Troponin 

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Cardiovascular Division, Department of MedicineBeth Israel Deaconess Medical Center and Harvard Medical SchoolBostonUSA

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