ST-elevation myocardial infarction???
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???? Are you facing acute coronary syndrome and stuck in the outdated STEMI (ST-elevation) paradigm? This video is the guide you need to understand the revolutionary change in the approach to heart attacks. OMI: Occlusion myocardial infarction ???? Modern Diagnosis: More than 25-30% of patients classified as NSTEMI under the STEMI paradigm have total coronary occlusion. Expert ECG interpretation, rather than strict STEMI criteria, successfully reclassifies 28% as having acute coronary occlusion, responding well to immediate reperfusion and reducing short- and long-term mortality. ???? Results from the DIFOCCULT Study (Int J Cardiol Heart Vasc. 2020 Oct;30): Patients with OMI, those who benefit from urgent reperfusion therapy, often do not meet STEMI criteria on initial ECG. ???? OMI Manifesto: Since 2018, awareness of ST elevation as an unreliable tool has led to a shift to a more reliable paradigm for detecting acute coronary occlusion. ????⚕️ Hello, I'm Rodrigo Jara, a physician specializing in emergency medicine with over 13 years of experience. I'm here to facilitate your understanding of this critical shift in heart attack management. ???? Do you want to support the channel while investing in your future? Find out how I do it with Fintual: https://fintual.cl/r/rodrigoj13 ???? Subscribe to stay informed about crucial medical content. Comment, like, and share to continue growing together on this journey of medical education. Important References: OMI: Replacing the STEMI misnomer: https://litfl.com/omi-replacing-the-s... The OMI Manifesto: https://hqmeded-ecg.blogspot.com/2018... In this video, we explore advanced concepts like Hyperacute T wave, Winter's T wave, Wellens patterns, AVL infrasegment as mirror image of inferior infarct, posterior infarct, non-supra infarct, supra in AVR, and more. Join me on this journey of medical update.
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