STEMI vs NSTEMI

Front

A 60-year-old male presents with: sudden onset of crushing chest pain radiating to the left arm, diaphoresis, nausea, and an elevated troponin. STEMI or NSTEMI?

Back

STEMI

Answer explanation

Clues: sudden, crushing chest pain, ST elevation, elevated troponin

Classic presentation of an anterior STEMI

Front

A 75-year-old female with diabetes reports: mild chest discomfort, shortness of breath for 6 hours, and an elevated troponin. STEMI or NSTEMI?

Back

NSTEMI

Answer explanation

Clues: mild symptoms in a diabetic elderly woman, t wave inversion, elevated troponin

No ST elevation, but a positive troponin and ECG changes suggest NSTEMI

Front

A 68-year-old complains of fatigue, mild jaw pain, and has an elevated troponin. STEMI or NSTEMI?

Back

NSTEMI

Answer explanation

Clues: atypical symptoms (fatigue, jaw pain) and elevated troponin

Front

A 50-year-old male smoker presents with severe chest pain that started 30 minutes ago and a normal troponin. STEMI or NSTEMI?

Back

STEMI

Answer explanation

Clues: severe chest pain, ST elevation, the early onset is why the troponin is not elevated yet