
Types of Myocardial Infarction: A Comprehensive Guide
Myocardial infarction, commonly known as a heart attack, is a life-threatening condition that requires immediate medical attention. Understanding the types of myocardial infarction is essential for early detection, treatment, and prevention of further complications. In this blog, we will explore the five main types of myocardial infarction, their causes, symptoms, and available treatment options.
What is Myocardial Infarction?
Myocardial infarction occurs when blood flow to a part of the heart muscle is blocked, leading to tissue damage or death. The severity of a heart attack depends on the type of myocardial infarction, the duration of blockage, and the area affected.

5 Types of Myocardial Infarction
1. Type 1 Myocardial Infarction (STEMI and NSTEMI)
Type 1 myocardial infarction occurs due to atherosclerotic plaque rupture, leading to blood clot formation that obstructs coronary arteries.
- ST-Elevation Myocardial Infarction (STEMI): Complete blockage of the coronary artery, causing severe symptoms.
- Non-ST-Elevation Myocardial Infarction (NSTEMI): Partial blockage, leading to less severe damage but still requiring urgent care.
2. Type 2 Myocardial Infarction
Type 2 myocardial infarction results from a mismatch between oxygen supply and demand in the heart. Common causes include severe anemia, hypertension, or respiratory failure. Unlike Type 1, no plaque rupture occurs in Type 2 myocardial infarction.
3. Type 3 Myocardial Infarction
This type of myocardial infarction refers to sudden cardiac death due to suspected ischemia but without confirmed biomarkers. In many cases, patients suffer from cardiac arrest before receiving medical treatment.
4. Type 4 Myocardial Infarction (4a and 4b)
Type 4 myocardial infarction is associated with percutaneous coronary intervention (PCI), a procedure used to treat blocked arteries.
- Type 4a: Occurs during or after PCI due to artery damage.
- Type 4b: Caused by stent thrombosis, a rare but serious complication.
5. Type 5 Myocardial Infarction
Type 5 myocardial infarction occurs during or after coronary artery bypass grafting (CABG) surgery. It is diagnosed based on elevated cardiac biomarkers and ECG changes.

Symptoms of Myocardial Infarction
Regardless of the types of myocardial infarction, common symptoms include:
- Chest pain or discomfort
- Shortness of breath
- Nausea and vomiting
- Sweating
- Dizziness or fainting
Diagnosis and Treatment
Diagnosis
Doctors diagnose myocardial infarction using:
- Electrocardiogram (ECG)
- Blood tests for cardiac enzymes
- Coronary angiography
- Echocardiogram
Treatment Options
Treatment depends on the types of myocardial infarction and may include:
- Medications: Blood thinners, beta-blockers, and statins
- Angioplasty and Stenting: To open blocked arteries
- Coronary Artery Bypass Surgery: For severe blockages
Prevention of Myocardial Infarction
Reducing the risk of myocardial infarction involves:
- Maintaining a healthy diet
- Regular exercise
- Controlling blood pressure and cholesterol
- Avoiding smoking and excessive alcohol

Expert Cardiac Care at Lifeline Hospital, Adoor
If you or a loved one are at risk of any types of myocardial infarction, seeking expert medical care is crucial. Lifeline Hospital, Adoor, the best Cardiology Hospital in Kerala, offers advanced diagnostic and treatment facilities to ensure optimal heart health.