Dr. Smith's ECG Blog

JULY 31, 2020

Their OMI Manifesto details how use of standard STEMI criteria results in an unacceptable level of inaccuracy, in which an estimated 25-30% of acute coronary occlusions are missed! The article by Aslanger, Smith et al that is featured above in today’s post has just been published.

STEMI 52

STEMI Coronary EMR ALS 52

Dr. Smith's ECG Blog

DECEMBER 13, 2023

I published, and Emre Aslanger externally validated, the 4-Variable formula for differentiating the ST Elevation of LAD OMI from Normal ST Elevation. link] == MY Comment , by K EN G RAUER, MD ( 12/11 /2023 ): == As per Dr. Smith — the KEY concept in today's case is proportionality. Now you can see the STE and Hyperacute T-wave better.

EMR 121

EMR Coronary OR STEMI 121

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

By Smith, peer-reviewed by Interventional Cardiologist Emre Aslanger Submitted by anonymous A 53 y.o. Here is his ED ECG at triage: Obvious high lateral OMI that does not quite meet STEMI criteria. For more on MINOCA — See My Comment in the November 16, 2023 post in Dr. Smith's ECG Blog ). The pain radiated to both shoulders.

Coronary 123

Coronary ACS OR EMR 123

Dr. Smith's ECG Blog

JANUARY 1, 2024

This was contributed by Co-editor Emre Aslanger, an interventional cardiologist in Turkey. As per Dr. Aslanger — a number of medical providers were initial confused by what initially appears as marked ST elevation with reciprocal ST depression, indicative of an acute STEMI. That was also my initial concern.

Coronary 105

Coronary EMR STEMI Emergency Department 105

Dr. Smith's ECG Blog

APRIL 21, 2023

Now let’s compare this with the existing paradigm to identify multiple preventable delays to reperfusion, which can be improved through the paradigm shift from STEMI to OMI. In the STEMI paradigm, patients with ischemic symptoms and ECGs that don’t meet STEMI criteria get serial ECGs.

STEMI 52

STEMI Coronary EMR EMT 52