STEMI/NSTEMI and OMI/NOMI Paradigms

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 therapy ECG findings to watch for — beyond, standard STEMI findings — that indicate an occluded artery Access to Dr. Smith's evaluation formula Patterns to watch for in diagnosis of OMI Benign mimickers Key takeaways for the novice interpreter Other clinical factors to watch for that may indicate OMI Recommendations for emergency medicine providers Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV. No CME available for this episode. Transcript found here. Original Release Date: 3/31/22