OMI vs. NOMI

In this transcript, Dr. Salim Reziae, discusses the differentiation between the traditional paradigm of STEMI and non-STEMI versus the newer paradigm of occlusion and non-occlusion myocardial infarction. She presents findings from two papers on this topic and emphasizes the need to shift to a newer paradigm in order to identify and treat non-STEMI patients with acute coronary occlusion.

Here are five key takeaways from the transcript:

1. A significant proportion of non-STEMI patients may have occlusion, or myocardial infarction, and should be treated like STEMI patients.
2. On an EKG, subtle ST elevations with ST depressions, hyperacute T-waves, and non-contiguous leads are signs of acute coronary occlusion in non-STEMI patients.
3. Troponin levels can be a useful surrogate for infarct injury and can help differentiate between STEMI, non-STEMI, and occlusion myocardial infarction.
4. The median time from arrival to the cath lab is significantly longer for non-STEMI patients with occlusion myocardial infarction than for STEMI patients.
5. Switching to the new paradigm of occlusion and non-occlusion myocardial infarction is necessary to identify and treat non-STEMI patients with acute coronary occlusion.