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The Cardiovascular CME podcast is a free educational offering from Mayo Clinic, featuring content geared towards physicians, physician assistants, and nurse practitioners who are interested in exploring a multitude of cardiology-related topics. Tune in and subscribe to explore today’s most pressing cardiology topics with your colleagues at Mayo Clinic and gain valuable insights that can be directly applied to your practice. No CME credit offered for podcast episodes at this time.
Episodes
Thursday Apr 27, 2023
Thursday Apr 27, 2023
STEMI/NSTEMI and OMI/NOMI Paradigms
Guest: Stephen W. Smith, M.D.
Host: Anthony H. Kashou, M.D.
Early detection of acute myocardial infarction (MI) can impact patients' immediate care and long-term outcomes. Most trained physicians can detect common ST-elevation MI (STEMI) patterns on ECG. However, a subset of patients does not present with common STEMI patterns. There are ECG patterns that can be identified to improve patient outcomes but are not yet widely known or accepted in current guidelines.
Joining us today to discuss the STEMI versus non-STEMI (NSTEMI) and occlusion MI (OMI) versus nonocclusion MI (NOMI) paradigms is Stephen W. Smith, M.D., Emergency Medicine, Hennepin Healthcare, in Minneapolis.
Specific topics discussed:
- The problem with the STEMI versus NSTEMI dichotomy
- Subgroup within the NSTEMI cohort that may benefit from emergent reperfusion therapy
- ECG findings to watch for — beyond, standard STEMI findings — that indicate an occluded artery
- Access to Dr. Smith's evaluation formula
- Patterns to watch for in diagnosis of OMI
- Benign mimickers
- Key takeaways for the novice interpreter
- Other clinical factors to watch for that may indicate OMI
- Recommendations for emergency medicine providers
Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV.
No CME available for this episode.
Transcript found here.
Original Release Date: 3/31/22