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Usually caused by a partial or near-complete occlusion of a coronary artery resulting in compromised blood flow to myocardium with subsequent myocardial injury or infarction as demonstrated by elevation in troponin. There are differences in typical presentation between the sexes. NSTEMI is differentiated from unstable angina by a dynamic elevation of troponin above the 99th percentile. ECG is the first-line investigation in all patients and should not be delayed for history, examination, or other tests. Early risk stratification and treatment with anti-ischaemic beta-blockers, nitrates , anticoagulant heparin , and dual antiplatelet agents aspirin plus a P2Y 12 receptor inhibitor is needed. Complications are progression or worsening of myocardial infarction; heart failure, cardiogenic shock, arrhythmias, and death.
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See our resources page for information, support and best practices. Due to the current restrictions in place, our inspection copy policy has changed. Please refer to our updated inspection copy policy for details. This is a seminal title for anyone serious about understanding and doing grounded theory research.
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