Home One Hour Lecture: Does this ECG show Occlusion MI (OMI)?

onJune 5, 2022

One Hour Lecture: Does this ECG show Occlusion MI (OMI)?

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One Hour Lecture: Does this ECG show Occlusion MI (OMI)?

Steve Smith

onJune 5, 2022

An ECG Finding Every Doctor Should Recognize — It’s More Common than You Think!

Post by Dr. Mark Hellerman. = = = Two octogenarians with known extensive CAD presented to our ED the same afternoon with chest discomfort. In…

lead misplacement

8 Min Read

Hans Helseth

onMay 29, 2026

The Right Decision for the Wrong Reason?

An 85-year-old man with a history of MI with stents woke up feeling unwell. He reported that the original sensation was difficult to describe,…

6 Min Read

Jesse McLaren

onMay 25, 2026

65 year old with chest pain + new Left Bundle Branch Block: is this acute coronary occlusion?

by Jesse McLaren A 65 year old with a history of COPD, coronary artery disease, reflux and cocaine use presented with chest tightness and…

9 Min Read

Willy Frick

onMay 22, 2026

STEMI: An Impossible Standard. NSTEMI: a worthless diagnosis.

A man in his mid 50s was playing soccer and collapsed. Bystanders initiated CPR and delivered 3 AED-advised shocks. The patient was intubated…

7 Min Read

Jesse McLaren

onJune 5, 2022

Chest pain, trop >50,000 but only 30% LAD stenosis on angiogram: what’s the diagnosis?

Written by Jesse McLaren, with comments by Grauer A 60 year old had two hours of exertional chest pain, nausea and diaphoresis, and called…

7 Min Read

Pendell Meyers

onJune 8, 2022

ST elevation after gunshot to the chest

Submitted and written by Bobby Nicholson MD, peer reviewed by Meyers, Grauer, McLaren, and Smith A young man suffered multiple gunshot wounds.…

7 Min Read

Steve Smith

onJune 11, 2022

Is this Myo-pericarditis? Or OMI with subsequent pericarditis? Does the angiogram always explain the ECG findings?

A 57 y.o. male with a history of diabetes presented with sharp, substernal chest pain with radiation to the bilateral shoulders that…

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One Hour Lecture: Does this ECG show Occlusion MI (OMI)?

Why do we NOT name Occlusion MI (OMI) after an EKG finding? (In contrast to STEMI, which is named after ST Elevation)

Chest pain, trop >50,000 but only 30% LAD stenosis on angiogram: what's the diagnosis?

Read Next

An ECG Finding Every Doctor Should Recognize — It’s More Common than You Think!

The Right Decision for the Wrong Reason?

65 year old with chest pain + new Left Bundle Branch Block: is this acute coronary occlusion?

STEMI: An Impossible Standard. NSTEMI: a worthless diagnosis.

Chest pain, trop >50,000 but only 30% LAD stenosis on angiogram: what’s the diagnosis?

ST elevation after gunshot to the chest

Is this Myo-pericarditis? Or OMI with subsequent pericarditis? Does the angiogram always explain the ECG findings?