Acute myocardial infarction (AMI) is a major cause of morbidity and mortality in Germany and worldwide [1,2]. It is grouped into two main categories according to admission ECG: ST-Elevation myocardial infarction (STEMI) and non-ST-Elevation myocardial infarction (NSTEMI). STEMI is characterized by persistent ST segment elevation, high peak-CK MB levels [3,4] and greater infarct size [5–10], whereas NSTEMI tend to occur in older people with more extensive coronary disease and more cardiovascular risk factors.