Cardiologia Ambulatoriale - Outpatient Cardiology
https://www.cardiologiaambulatoriale.eu/understanding-treating-chronic-ischemic-heart-disease-need-new-approach-11-10-5/
Export date: Thu Oct 9 3:39:28 2025 / +0000 GMT

Electrocardiographic classification of STEMI and NSTEMI. The transmurality is really a differential character?


La classificazione elettrocardiografica di STEMI e NSTEMI.

La transmuralità è davvero un carattere differenziale?

Vito Maurizio Parato, MD

UOC Cardiologia, Ospedale Madonna del Soccorso, San Benedetto del Tronto, Italy


Abstract


Le linee-guida internazionali classificano l'infarto miocardico acuto sulla base della presentazione elettrocardiografica in STEMI (ST-Elevation Myocardial Infarction) e NSTEMI (Non-ST-Elevation Myocardial Infarction). La transmuralità, da sempre indicata come carattere differenziale dello STEMI, non sembra risparmiare del tutto i casi di NSTEMI. 11In questo articolo riportiamo scenari clinici in cui il passaggio da NSTEMI a STEMI nello stesso paziente può portare a complicanze gravi, talora anche mortali.


Parole chiave: Sindromi coronariche acute; Infarto miocardico acuto; STEMI; NSTEMI.




Abstract


The international classification of acute myocardial infarction is based on ST modification at 12-leads EKG: STEMI (STElevation Myocardial Infarction) and NSTEMI (Non-ST-Elevation Myocardial Infarction). We know that the transmurality characterizes STEMI but also NSTEMI may be involved by a transmural development.  In this article, we report some clinical scenarios in which the shift from NSTEMI to STEMI in the same patient may lead to severe and life-threatening complications.


Key words: Acute coronary syndromes; Acute myocardial infarction; STEMI; NSTEMI.









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Post date: 2017-03-01 18:25:38
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