OMI not STEMI.

Many a patient likely suffered getting an elective catheterization instead of emergent when deemed have non-ST elevation MI medical condition. Stemi equivalents occur like Wellen's syndrome or DeWinters waves or ST elevation in lead aVR. Non-Stemi leading to cardiogenic shock, explain to me how this patient doesnt need an intra aortic balloon pump and emergent catheterization. Non-Stemi leading to Vtach or Vfib. Not to get cathed? Explain to me this. I wish laws made it less punitive to invasive cardiologists/interventionalists to cathe these sick patients who arent ST elevation MIs. Change the term to OMi, because the words STemi and non-Stemi dont mean jack to a heart lacking perfusion from a blocked coronary artery.
3 things taught to figure out Acute Coronary Syndrome.
Story and history (heart score included) and ekg and troponin levels. Tell that to the cardiologist. The ultimate test for coronary artery vasospasm, occlusion by thrombus or dissection is cardiac catheterization.
OMI still includes atypical presentations.
Remember that. In diabetics, women, the elderly, and People from India and their descendants in Middle East, Trinidad, and Guyanese.
Time to change to verbage and culture.
OMI not STEMI.

. #er #emergencymedicine #cardiology #heartattack #myocardialinfarction #stemi #nonstemi #omi #criticalcare #icu #resuscitation

[justyouraveragenico]

I'm friends with Dr. Smith. He's the one who actually developed the concept of OMI. He's an amazing man. Knows more about ECG's than any cardiologist I've ever met