NSTEMI

Medical abbreviation · Cardiology

NSTEMI
Stands forNon-ST-elevation myocardial infarction
CategoriesMedical

NSTEMI stands for Non-ST-elevation myocardial infarction, a cardiology abbreviation.

Heart attack confirmed by elevated troponin but without persistent ST elevation on the ECG, typically reflecting a partially blocked or intermittently occluded artery. Patients are risk-stratified with tools such as the GRACE or TIMI scores and usually receive antiplatelet drugs, anticoagulation and coronary angiography within 24 to 72 hours depending on risk.

Example: Troponin rose from 0.04 to 1.8 with ST depression in V4 to V6; working diagnosis is NSTEMI, cath planned tomorrow.

Usage notes

Pronounced "EN-stem-ee." Together with unstable angina it forms NSTE-ACS, the non-ST-elevation acute coronary syndromes; troponin separates the two, since only NSTEMI shows myocardial necrosis. Some NSTEMI patients actually have a fully occluded circumflex artery that the standard 12-lead misses, which is why posterior leads or urgent angiography are used when pain persists despite treatment.

More cardiology abbreviations

  • MUGA – Multigated acquisition scan
  • MV – Mitral valve
  • MVP – Mitral valve prolapse
  • MVR – Mitral valve replacement
  • NICM – Nonischemic cardiomyopathy
  • NSR – Normal sinus rhythm
  • NSVT – Nonsustained ventricular tachycardia
  • NT-proBNP – N-terminal pro-B-type natriuretic peptide
  • NYHA – New York Heart Association
  • OH – Orthostatic hypotension
  • OM – Obtuse marginal artery
  • OPCAB – Off-pump coronary artery bypass

See all 229 cardiology abbreviations →

This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.