OMI Don't Ya NOMI
OMI Don't Ya NOMI
May 16, 2024
In this episode with host Will Smith, MD, Nuvance Health emergency physician Domenico Mastandrea, DO, will take us through STEMI and physiologic STEMI equivalents, with key can't-miss findings when you're reviewing all those EKGs on shift.
Host
Will Smith, MD
Emergency physician in Northern California
Graduate, Nuvance Health/Vassar Brothers Medical Center Residency
@WTSmithMD | wtsmithmd
EMRA*Cast Episodes
Sometimes on shift, no more than an hour will go by without having at least 1 EKG shoved in our face. We take a few seconds to make sure there is no STEMI, then move on. But are we missing something that can be just as devastating by having such a narrow focus?
In this episode with host Will Smith, Dr. Domenico Mastandrea will take us through STEMI and physiologic STEMI equivalents: what we should be looking for, before we scratch our initials on that paper and move on.
TAKE-HOME POINTS
We are missing around 25% of OMI with current millimeter/millivolt criteria, and recording around 25% false positives!
7 important ECG findings that could signify occlusive myocardial infarctions:
- ST elevations utilizing mm criteria
- Subtle ST elevations
- Hyperacute T waves
- Posterior MI
- de Winter waves
- South African flag sign
- Modified Sgarbossa
- Subtle STE in inferior leads with reciprocal ST changes in high lateral
EXTRA READING
