A case series of OMI: time for revisiting STEMI/NSTEMI ECG criteria.

ABSTRACT:

Background

The current STEMI criteria fail to detect roughly one-third of occlusive MI (OMI). STEMI criteria demonstrated only a sensitivity of around 21% for OMI. Compared to STEMI, patients with NSTEMI-OMI have higher short-term and long-term all-cause mortality and longer reperfusion delays. This case series presents three NSTEMI patients with OMI and a delayed reperfusion strategy.

Case presentation

We present three cases of patients initially diagnosed with NSTEMI who were later found to have occlusive myocardial infarction (OMI) based on angiographic findings, all of whom underwent delayed reperfusion strategies. The first two cases shared similar clinical profiles, presenting with typical infarct angina, elevated cardiac enzymes, and regional wall motion abnormalities

SUBMITTER: Batubara EAD 

PROVIDER: S-EPMC12484458 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature