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Non-St-Elevation Myocardial Infarction

 Syn. NSTEMI

Signs & Symptoms

 Chest pain
Note: Lasting >10 min
Ref: Harrison [ 1868] Epocrates [ History & Exam]
Dyslipidemia
Ref: Epocrates [ Risk Factors]
Chest discomfort at rest
Note: Lasting >10 min
Ref: Harrison [ 1868] Epocrates [ History & Exam]
Diabetes mellitus
Ref: Epocrates [ Risk Factors]

Physical Examination

 Hypertension
Note: cause ventricular hypertrophy, cause endothelial dysfunction, cause endothelial damage, cause atherosclerosis
Ref: Epocrates [ Risk Factors]
Point chest tenderness (negative symptom)
Ref: Epocrates [ Differential Diagnosis]
Murphy sign (negative symptom)
Ref: Epocrates [ Differential Diagnosis]

Lab / Serology

 Troponin levels rise
Note: Greater than 99th percentile of normal
Ref: Harrison [ 1868] Epocrates [ Tests]
Decreased high-density lipoproteins
Ref: Epocrates [ Risk Factors]
Elevated triglycerides
Ref: Epocrates [ Risk Factors]

Imagin Study

 Downsloping ST depression
Note: Horizontal ST depression >1.0 mm
Ref: Harrison [ 1868] Epocrates [ Tests]
Symmetrically inverted T waves
Ref: Harrison [ 1868] Epocrates [ Tests]
Horizontal ST depression
Note: Horizontal ST depression >1.0 mm
Ref: Harrison [ 1868] Epocrates [ Tests]

Complication

Risk Factors

 Obesity
Ref: Epocrates [ Risk Factors]
Smoking
Ref: Epocrates [ https://online.epocrates.com/diseases/15132/Non-ST-elevation-myocardial-infarction/Risk-Factors]
Elder
Ref: Epocrates [ Risk Factors]

Cause

Other