tag:blogger.com,1999:blog-549949223388475481.post3775117124586047022..comments2024-03-26T22:42:04.176-05:00Comments on Dr. Smith's ECG Blog: The OMI ManifestoUnknownnoreply@blogger.comBlogger22125tag:blogger.com,1999:blog-549949223388475481.post-45756660176242540872021-06-02T14:26:42.987-05:002021-06-02T14:26:42.987-05:00Fantastic!Fantastic!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-81942636328502500912021-05-05T11:37:02.592-05:002021-05-05T11:37:02.592-05:00Translated to catalan at https://emermedpirineus.e...Translated to catalan at https://emermedpirineus.eu/manifest-iamo/<br />Catalan EMS agency (sem.gencat.cat) is now updating their guidelines, sure your work will be useful<br />Moltes gràcies!!Unknownhttps://www.blogger.com/profile/09106298750174856178noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-2694146627215006302020-11-01T13:31:26.490-06:002020-11-01T13:31:26.490-06:00THANKS SIR
THANKS SIR<br />AAMIRhttps://www.blogger.com/profile/07616014505817225867noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-50408772633013713692020-09-15T06:35:08.176-05:002020-09-15T06:35:08.176-05:00it's very clear now from the revised concept o...it's very clear now from the revised concept of OMI & NOMIAnonymoushttps://www.blogger.com/profile/10262045984157750994noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-40649975574986230672019-05-26T22:29:01.007-05:002019-05-26T22:29:01.007-05:00So good, thanks!!So good, thanks!!tsbqb11https://www.blogger.com/profile/04429574676726934889noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-19928579178333222392018-10-15T15:02:02.016-05:002018-10-15T15:02:02.016-05:00@ Pius — Your comment reminds of a yearly talk one...@ Pius — Your comment reminds of a yearly talk one of my colleagues used to give entitled, "Things I Wish I Knew Last Year" ... All of us live & learn daily. The IMPORTANT thing is to keep an open mind so that when new information comes out (ie, as in the concept of "OMI") — you are open to receiving it and incorporating it so as to be that much better from now on. THANKS for your comment! — :)ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-38310907747893821842018-10-15T12:01:47.443-05:002018-10-15T12:01:47.443-05:00Pius, you are not alone there!!
You probably misse...Pius, you are not alone there!!<br />You probably missed occlusions, but not MIs. They ruled in by troponin and did eventually get there angiogram and PCI, but could have gotten earlier (if you could convince the interventionalist).<br />Steve SmithSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-18203161117008064062018-10-14T16:22:32.671-05:002018-10-14T16:22:32.671-05:00To be truly honest: ever since I started reading t...To be truly honest: ever since I started reading this blog and got to understand the concept of OMI/NOMI I am scared to my bones of all the possible critical ECGs I might have misinterpreted before, while mainly focusing on the ST-Segments...Pius Madjokehttps://www.blogger.com/profile/15979072697162991927noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-8581558939108729342018-04-10T07:54:41.228-05:002018-04-10T07:54:41.228-05:00We are just starting a retrospective study of ECG ...We are just starting a retrospective study of ECG findings of NonSTEMI patients who have, vs. do not have, OMI. It is impossible to get a prospective study funded.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-46560822499901449262018-04-09T13:18:54.537-05:002018-04-09T13:18:54.537-05:00Thanks for a wonderful document with a comprehensi...Thanks for a wonderful document with a comprehensive review of the available literature. Definitely going to discuss this with our interventionalists.<br /><br />Are you conducting yourself or aware of any ongoing research/trial which study the benefit of early intervention in patients with NSTE-ACS with or without ECG-findings/refractory CP?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-28739673223262644742018-04-04T12:40:07.280-05:002018-04-04T12:40:07.280-05:00Alex, try this paper by my research partner, Yader...Alex, try this paper by my research partner, Yader Sandoval: <br />Myocardial Infarction Type 2 and Myocardial Injury.<br />http://clinchem.aaccjnls.org/content/63/1/101.fullSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-71054620595961114422018-04-04T08:07:18.600-05:002018-04-04T08:07:18.600-05:00All,
Thank you for your persistence of clear-head...All, <br />Thank you for your persistence of clear-headed reason in the face of near overwhelming dogma. I will be using this document as a reference in discussions with colleagues and trainees in the future.<br /><br />I realize that this manifesto is targeting patients with the clinical acute coronary syndrome. As an ICU physician, I am often faced with the dreaded "type 2 MI." Many a consult has recommended therapies ("the troponin is too damn high!") that I believe (based on the limited data I can find) are unhelpful at best and iatrogenic at worst. Any hope for a similarly well-cited compilation focused on the management of this common complication?<br /><br />Cheers!<br />-AlexAnonymoushttps://www.blogger.com/profile/13211748498637633631noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-21993122722766750412018-04-03T16:09:14.791-05:002018-04-03T16:09:14.791-05:00GREAT idea Jerry! :)GREAT idea Jerry! :)ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-92077919205612199592018-04-03T12:41:36.811-05:002018-04-03T12:41:36.811-05:00Jerry,
Another great idea. Whenever I give a lectu...Jerry,<br />Another great idea. Whenever I give a lecture to students on EKG in MI, I show them a STEMI and say, "Well this is not necessarily infarction until the myocardium dies, and it sometimes does not end up with ANY infarction, and, if it does, it may be a LOT of infarction or a LITTLE. Others call ST Elevation ischemia "INJURY" but that term implies some irreversibility to it as well. So "subepicardial ischemia" is better, but then that is inadequate to the task as well because the vast majority of the time there IS actually infarction.......The reality is that this syndrome has such an enormous spectrum that no one term describes it well.<br />Thanks!<br />SteveSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-61942707821032613822018-04-02T13:51:36.732-05:002018-04-02T13:51:36.732-05:00Steve, Pendell and Scott...
Congratulations on pr...Steve, Pendell and Scott...<br /><br />Congratulations on producing a well-described alternative to STEMI and NSTEMI (not just the terminology, but the whole approach to diagnosis and treatment!). To understand that a patient with classic ACS-type chest pain with a 0.75 mm ST elevation in a lead with a 0.80 mm QRS amplitude deserves to have his/her myocardium preserved is a refreshing concept.<br /><br />I just wish we could get away from the terminology that implies we are treating "infarctions." How about OMI = "Occlusion Myocardial Ischemia?"<br /><br />Regardless, thanks to all of you for such a well-presented idea. If you need any assistance spreading the word, count me in!Jerry W. Jones, MD FACEP FAAEMhttps://www.blogger.com/profile/10333187745825224414noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-27426577935095966852018-04-02T10:05:20.394-05:002018-04-02T10:05:20.394-05:00Excellent presentation and evidence based as with ...Excellent presentation and evidence based as with all your posts. Let's hope this gets the recognition it deserves for us and our patients. Phil Smithnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-37676255374946462802018-04-02T09:17:15.037-05:002018-04-02T09:17:15.037-05:00Of course!!Of course!!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-63244596800247610052018-04-02T09:17:04.974-05:002018-04-02T09:17:04.974-05:00Thanks, Laszlo,
Steve and PendellThanks, Laszlo,<br />Steve and PendellSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-59296062969048865042018-04-02T09:16:39.495-05:002018-04-02T09:16:39.495-05:00Thanks, Ken!Thanks, Ken!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-72484893812482192472018-04-02T07:36:21.240-05:002018-04-02T07:36:21.240-05:00With your permission i have translated this docume...With your permission i have translated this document to my dutch blog (acute medicine blog) https://acutezorg.blogspot.be. I have mentionted you as the source and wrote a disclaimer that its a informal translation, where the post is not to be used in a protocol or guideline, before approval from the responsible physician ghttps://www.blogger.com/profile/06858694695363227559noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-79294340762820239722018-04-02T00:36:53.537-05:002018-04-02T00:36:53.537-05:00Thanks to God, that somebody has described it!
An...Thanks to God, that somebody has described it! <br />And of course many thanks you too... <br />Laszlo Farkas <br />from Hungary Anonymoushttps://www.blogger.com/profile/14656986803058513144noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-80719416864417982142018-04-01T21:37:09.478-05:002018-04-01T21:37:09.478-05:00CONGRATULATIONS to Drs. Meyers, Weingart & Smi...CONGRATULATIONS to Drs. Meyers, Weingart & Smith on an amazingly complete and superb compilation of information! Thank you for your great work!ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.com