OMI Literature Timeline


Meyers & Smith

The OMI Manifesto


Meyers & Smith

International Journal of Cardiology

Prospective, real-world evidence showing the gap between ST elevation myocardial infarction (STEMI) and Occlusion MI (OMI)


Aslanger, Smith, et al.

International Journal of Cardiology Heart & Vasculature


DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction

Meyers, Bracey, Smith, et al.

Journal of Emergency Medicine

Comparison of the ST elevation myocardial infarction (STEMI) vs. NSTEMI and Occlusion MI (OMI) vs. NOMI paradigms of acute MI


Tziakas, Chalikias, Al-Lamee, Kaski

International Journal of Cardiology

Total coronary occlusion in non ST elevation myocardial infarction: Time to change our practice?

Meyers, Bracey, Smith, et al.

International Journal of Cardiology Heart & Vasculature

Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute coronary occlusion myocardial infarction

Aslanger, Meyers, Smith

Journal of Electrocardiography

STEMI: A transitional fossil in MI classification?

McLaren et al.

American Journal of Emergency Medicine

Sharing and Teaching of Electrocardiograms to Minimize Infarction (STEMI): reducing diagnostic time for acute coronary occlusion in the emergency department

Aslanger, Meyers, Smith

Anatolian Journal of Cardiology

Time for a new paradigm shift in myocardial infarction


International Journal of Cardiology

Acute coronary occlusion in non-STEMI: If you change the way you look at things, the things you look at change

Dodd, Meyers, Smith, et al.

Annals of Emergency Medicine [In Press]

Electrocardiographic diagnosis of acute coronary Occlusion Myocardial Infarction in ventricular paced rhythm using the modified Sgarbossa criteria.

Aslanger, Meyers, Bracey, Smith

International Journal of Cardiology

The STEMI/NonSTEMI dichotomy needs to be replaced by Occlusion MI vs. Non-Occlusion MI

Sankardas, Ramakumar, Farooqui


Of Occlusions, Inclusions, and Exclusions - Time to Reclassify Infarctions?

Aslanger, Meyers, Smith.  Full text English or Turkish.  

Turkish Journal of Cardiology

Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab.

deSouza, Mattu, Marill

Annals of Emergency Medicine

Improving the ECG Diagnosis of the Elusive, Acute Coronary Occlusion in Patients with Ventricular Paced Rhythm.

Birnbaum, Ye, Smith, Jneid

Journal of the American Heart Association

Rapid Diagnosis of STEMI Equivalent in Patients with Left Bundle Branch Block: Is it Feasible?

Meyers, Bracey, Smith, et al.

Journal of the American Heart Association

Ischemic ST depression maximal in V1-V4 (vs. V5-V6) of any amplitude, is specific for Occlusion Myocardial Infarction (vs. non-occlusive ischemia)

Khawaja M.  Thakker J.  Kherallah R.  Yumei Y.  Smith SW.  Birnbaum Y.  Diagnosis of Occlusion Myocardial Infarction in Patients with Left Bundle Branch Block and Paced Rhythms.  Current Cardiology Reports 2021. 

McLaren, Meyers, Smith, Chartier

Canadian Journal of Emergency Medicine

From STEMI to Occlusion MI: paradigm shift and ED quality improvement

Sharma A. Miranda DF. Rodin H. Bart BA. Smith SW. Shroff GR.  


Interobserver Variability among Experienced Electrocardiogram Readers To Diagnose Acute Thrombotic Coronary Occlusion In Patients with Out of Hospital Cardiac Arrest: Impact of Metabolic and Angiographic Culprit.  

Kos N, Zeljkovic I, Krcmar T, et al.

Acute Occlusion of the Infarct-Related Artery as a Predictor of Very Long-Term Mortality in Patients with Acute Myocardial Infarction. Cardiol Res Pract. 2021; 2021:6647626. PMID 34868657.

Morawska I et al. Total Occlusion of the Infarct-Related Artery in Non-ST-Elevation Myocardial Infarction (NSTEMI) - How Can We Identify These Patients? Medicina 2021, 57(11):1196. 


Al-Zaiti S.  Macleod R. Van Dam P.  Smith SW.  Birnbaum Y.  Emerging ECG Methods for Acute Coronary Syndrome Detection:Recommendations and Future Opportunities.  J Electrocardiology 2022.

Avdikos G, Michas G, Smith SW. From Q/Non-Q Myocardial Infarction to STEMI/NSTEMI: Why it's time to consider another simplified dichotomy; a narrative literature review. Archives of Academic Emergency Medicine. 2022; 10(1):e78.

Kontos et al. 2022 ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain in the Emergency Department. JACC 2022.

Triska, J, George J, Rector G, Alam M, Smith SW, Meyers HP, Birnbaum Y. Acute Coronary Occlusion in a Patient with Prior Known Right Bundle Branch Block: Another Chink in the Armor for the STEMI Criteria. Annals of Emergency Medicine. 2022. In Press.


Zoni CR, Mukherjee D, Gulati M. Proposed new classification for acute coronary syndrome: acute coronary syndrome requiring immediate reperfusion. Catheterization and cardiovascular interventions, 2023, Vol.101 (7), p.1177-1181. doi:10.1002/ccd.30667

McLaren JTT, Meyers HP, Smith SW. Chest Pain, Paced Rhythm, and 2 Missed Indications for Emergent Reperfusion. JAMA Intern Med. 2023 Apr 3.

Rolek B et al. Occlusive myocardial infarction - emerging paradigm of acute coronary syndromes. Adv Interv Cardiol 2023. DOI:

Al-Zaiti et al. Machine learning for ECG diagnosis and risk stratification of occlusion myocardial infarction. Nature Medicine. 2023.

McLaren JTT, El-Baba M, Sivashanmugathas V, Meyers HP, Smith SW, Chartier LB. Missing occlusions: Quality gaps for ED patients with occlusion MI. AJEM 2023.

McLaren JTT, Meyers HP, Smith SW, Chartier LB. Emergency department code STEMI patients with initial ECG labelled 'normal' by computer interpretation: a 7-year retrospective review. Academic Emergency Medicine 2023.

Muthyala A, Sasidharan S, Shringi S, et al. Is it Time for a Paradigm Shift Towards Occlusion Myocardial Infarction? JSCAI 2023.

Lindlow T, Mokhtari A, Nystrom A, Koul S, Smith SW, Ekelund U. Comparison of diagnostic accuracy of current left bundle branch block and ventricular pacing ECG criteria for detection of occlusion myocardial infarction. International Journal of Cardiology. 2023.

Herman, Meyers, Smith, et al. International Evaluation of an Artificial Intelligence-Powered Electrocardiogram Model Detecting Acute Coronary Occlusion Myocardial Infarction. EHJ DH. 2023.

Escabi-Mendoza J, Diaz-Rodriguez P, Silva-Cantillo R. Shark Fin Occlusive Myocardial Infarction ECG pattern post-cardiac arrest misinterpreted as ventricular tachycardia. Cureus 2023. 15(5): e38708. doi: 10.7759/cureus.38708 

Geffin R, Triska J, Najjar S, Berman J, Cruse M, Birnbaum Y. Why do we keep missing left circumflex artery myocardial infarctions? Journal of Electrocardiology. 2023.


Abusharekh M, Kampf J, Dykun I, et al. Acute coronary occlusion with vs. without ST-elevation: impact on procedural outcomes and long-term all-cause mortality. EHJ - Quality of Care and Clinical Outcomes. 2024. 

Smith SW, Meyers HP. ST elevation is a poor surrogate for acute coronary occlusion. Let’s replace STEMI with Occlusion MI (OMI)!! International Journal of Cardiology. 2024.

Queen of Hearts Timeline Only:


Herman R, Meyers HP, Smith SW. ECG-based deep learning for detecting epicardial coronary occlusion in acute myocardial infarction. European Heart Journal, Volume 44, Issue Supplement_2, November 2023, ehad655.2930.

Herman, Meyers, Smith, et al. International Evaluation of an Artificial Intelligence-Powered Electrocardiogram Model Detecting Acute Coronary Occlusion Myocardial Infarction. EHJ DH. 2023.

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