Beyond the ST-segment in Occlusion Myocardial Infarction (OMI): Diagnosing the OMI-nous.
Emre K AslangerPublished in: Turkish journal of emergency medicine (2022)
The ST-segment elevation (STE) myocardial infarction (MI)/non-STEMI (NSTEMI) paradigm has been the central dogma of emergency cardiology for the last 30 years. Although it was a major breakthrough when it was first introduced, it is now one of the most important obstacles to the further progression of modern MI care. In this article, we trace why a disease with an established underlying pathology (acute coronary occlusion [ACO]) was unintentionally labeled with a surrogate electrocardiographic sign (STEMI/NSTEMI) instead of pathologic substrate itself (ACO-MI/non-ACO-MI or occlusion MI [OMI]/non-OMI [NOMI] for short), how this fundamental mistake caused important clinical consequences, and why we should change this paradigm with a better one, namely OMI/NOMI paradigm.
Keyphrases
- left ventricular
- heart failure
- healthcare
- percutaneous coronary intervention
- emergency department
- coronary artery disease
- st elevation myocardial infarction
- coronary artery
- palliative care
- public health
- st segment elevation myocardial infarction
- heavy metals
- cardiac surgery
- squamous cell carcinoma
- computed tomography
- pain management
- radiation therapy
- positron emission tomography
- left atrial
- aortic stenosis
- rectal cancer
- transcatheter aortic valve replacement