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Beyond the ST-segment in Occlusion Myocardial Infarction (OMI): Diagnosing the OMI-nous

 Department of Cardiology, Pendik Training and Research Hospital, Marmara University, Istanbul, Turkey

Correspondence Address:
Emre K Aslanger,
Department of Cardiology, Pendik Training and Research Hospital, Marmara University, Fevzi Cakmak Mah., Muhsin Yazicioglu Cad. No: 10, Pendik 34899, Istanbul
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2452-2473.357333

The ST-segment elevation (STE) myocardial infarction (MI)/non-STEMI (NSTEMI) paradigm has been the central dogma of emergency cardiology for the last 30 years. Although it was a major breakthrough when it was first introduced, it is now one of the most important obstacles to the further progression of modern MI care. In this article, we trace why a disease with an established underlying pathology (acute coronary occlusion [ACO]) was unintentionally labeled with a surrogate electrocardiographic sign (STEMI/NSTEMI) instead of pathologic substrate itself (ACO-MI/non-ACO-MI or occlusion MI [OMI]/non-OMI [NOMI] for short), how this fundamental mistake caused important clinical consequences, and why we should change this paradigm with a better one, namely OMI/NOMI paradigm.

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