OMI Pocket Guide

 📕 OMI Pocket Guide 

• The OMI Pocket Guide (https://omiguide.org) is a user-friendly online resource designed to help healthcare professionals learn how to recognize subtle signs of acute coronary occlusion on the ECG which represent occlusion myocardial infarctions (OMI). 
  
• Learning to recognize OMIs is an important clinical skill because it helps identify the subpopulation of "NSTEMIs" who are likely to be found with total thrombotic occlusion at the time of cardiac catherization.
  
• Although there are more criteria to consider when looking for OMIs compared to STEMIs, anyone can learn them, and this guide is intended to help accelerate that process!
  
• The guide organizes OMIs into categories based on each of the steps outlined by Drs. Aslanger, Meyers and Smith in their paper "Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab". Each section includes:
• A brief check list of the OMI ECG criteria
• Several ECG examples curated from Dr. Smith's ECG Blog 
• The specificity of each criteria with links to relevant literature 
  

🤖 Artificial Intelligence and OMI

• Artificial intelligence (AI) models (such as the Queen of Hearts) are well on their way in helping us identify OMIs on the ECG.
  
• As we enter a new age of medicine which is increasingly interfacing with AI, healthcare professionals may wish to better understand how the "black box" is "thinking". 
  
• This guide is intended to help you efficiently train your neural network in identifying OMIs by allowing you to quickly slide through many examples of angiographically confirmed cases. Reviewing these cases side by side will help you train your eyes to hone in on the subtle findings that characterize OMIs.  The more examples you learn from, the more confident you will be in your agreement or disagreement with the AI's verdict. 
  

👨🏻‍⚕️ About the Author

• The OMI Pocket Guide (https://omiguide.org) was designed and is curated by Mark Hellerman, MD - a cardiology fellow at Stony Brook University Hospital

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MY Comment, by KEN GRAUER, MD (8/3/2023):

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I wanted to provide a “shout-out” to Dr. Mark Hellerman — for his excellent work in producing the OMI Pocket Guide, that is the subject of today’s post on Dr. Smith’s ECG Blog.

• This user-friendly guide is especially suited for followers (and hopefully for “future-followers” ) of Dr. Smith’s ECG Blog — in that it concisely summarizes for the busy clinician key criteria for recognition of acute OMIs that do not necessarily satisfy millimeter-based criteria for acute STEMI.
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• I’ve accessed this hand OMI Pocket Guide on both my ipad and iphone. On each device — the large-print labels on the guide instantly take you to concise summary of research-based ECG criteria developed by Drs. Smith and Meyers (that are well known to readers of this Blog). But it HELPS — to be able to instantly reference these important criteria.
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• Dr. Hellerman cites linked references to key concepts — with ECG examples (and links) that take you to specific illustrative posts in Dr. Smith’s Blog — if the reader has interest for a more in-depth read. 
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• Suggestion #1: Example ECGs are of adequate size on tablet — but may be a bit small on smart phone. Simply tap and SAVE the Figure you are looking at on smart phone to your Photos — and then the size will be perfect for smart phone use.
• Suggestion #2: Make a bookmark of this link = https://omiguide.org/ on your computer — and/or  — access this link, and then "Save to Home Screen" of your smart phone or tablet to facilitate instant access.

Our THANKS to Dr. Hellerman for consolidating so many important concepts developed by Drs. Smith and Meyers into this amazingly user-friendly concise OMI Pocket Guide!