EMR Events STEMI 
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 more leads with suspicious findings — the greater the concern for an acute ongoing event.
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. Furthermore, if this occurs at all, it is a rare event. The pain radiated to both shoulders. He was started on nitro gtt.
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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. Knowing the patient has a history of coronary disease could be relevant to today's case — as it should add to our suspicion of a new acute event. RED arrows ).
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.
Dr. Smith's ECG Blog
NOVEMBER 30, 2022
Takotsubo is a sudden event, not one with crescendo angina. In a prospective angiographic study involving patients undergoing percutaneous intervention for coronary artery disease, only half the subsequent events arose from lesions with sufficient stenosis to have warranted intervention at the time of revascularization. From Gue at al.
Dr. Smith's ECG Blog
NOVEMBER 13, 2022
Written by Emre Aslanger. Emre is a new Editor of the Blog. I have trouble understanding the chain of events that resulted in the unacceptable delay and cost the patient’s anterior wall. PMID: 34523597. == MY Comment by K EN G RAUER, MD ( 11/13/2022 ): == Highly interesting case by Emre Aslanger. Turk Kardiyol Dern Ars.
Dr. Smith's ECG Blog
DECEMBER 22, 2022
by Emre Aslanger Dr. Aslanger is our newest editorial member. Dr. Aslanger is also the author of the DIFFOCULT study: Emre K. This is a very subtle change but cannot be anything other than an acute coronary event. Take home messages: 1- In STEMI/NSTEMI paradigm you search for STE on ECG. Turk Kardiyol Dern Ars.
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