STEMI/NSTEMI and OMI/NOMI Paradigms
Guest: Stephen W. Smith, M.D.
Host: Anthony H. Kashou, M.D.
Early detection of acute myocardial infarction (MI) can impact patients' immediate care and long-term outcomes. Most trained physicians can detect common ST-elevation MI (STEMI) patterns on ECG. However, a subset of patients does not present with common STEMI patterns. There are ECG patterns that can be identified to improve patient outcomes but are not yet widely known or accepted in current guidelines.
Joining us today to discuss the STEMI versus non-STEMI (NSTEMI) and occlusion MI (OMI) versus nonocclusion MI (NOMI) paradigms is Stephen W. Smith, M.D., Emergency Medicine, Hennepin Healthcare, in Minneapolis.
Specific topics discussed:
- The problem with the STEMI versus NSTEMI dichotomy
Subgroup within the NSTEMI cohort that may benefit from emergent reperfusion therapyECG findings to watch for — beyond, standard STEMI findings — that indicate an occluded arteryAccess to Dr. Smith's evaluation formulaPatterns to watch for in diagnosis of OMIBenign mimickersKey takeaways for the novice interpreterOther clinical factors to watch for that may indicate OMIRecommendations for emergency medicine providersConnect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV.
No CME available for this episode.
Original Release Date: 3/31/22