

Omi patterns
First three sections of playcard are all ecg patterns of an occlusive MI and indicating the need for emergent cath. Also referred to colloquially as "STEMI-equivalents."



Hyper Acute T Waves



ECG from the excellent resource: Dr. Smith's ECG Blog.



Type: OMI - NSTEMI
Hyperacute TW refers to the well described TW changes which herald OMI.
Pattern recognition:
1. Increased T wave size*
2. Increased symmetry
Measurable:
1. Prolonged QTc
2. Increased TW : QRS ratio
Type: OMI - NSTEMI
Hyperacute TW refers to the well described TW changes which herald OMI.
Pattern recognition:
1. Increased T wave size*
2. Increased symmetry
Measurable:
1. Prolonged QTc
2. Increased TW : QRS ratio
Type: OMI - NSTEMI
Hyperacute TW refers to the well described TW changes which herald OMI.
Pattern recognition:
1. Increased T wave size*
2. Increased symmetry
Measurable:
1. Prolonged QTc
2. Increased TW : QRS ratio

Left Main Occlusion

ECG from personal collection.

Type: OMI - NSTEMI
This pattern also encompases multvessel disease which has become unstable as manifested by widespread ST depression at rest with ST elevation in either of the righward facing leads aVR/V1
Pattern Recognition:
Step 1 - Note ischemic pattern of DIFFUSE ST Depressions.
Step 2 - Examine aVR/V1 for ST Elevation.
Also Important:
Clinical Presentation
Frequent false positives:
Type: OMI - NSTEMI
This pattern also encompases multvessel disease which has become unstable as manifested by widespread ST depression at rest with ST elevation in either of the righward facing leads aVR/V1
Pattern Recognition:
Step 1 - Note ischemic pattern of DIFFUSE ST Depressions.
Step 2 - Examine aVR/V1 for ST Elevation.
Also Important:
Clinical Presentation
Frequent false positives:
Type: OMI - NSTEMI
This pattern also encompases multvessel disease which has become unstable as manifested by widespread ST depression at rest with ST elevation in either of the righward facing leads aVR/V1
Pattern Recognition:
Widespread ST depression
Widespread ST depression
Also Important:
Widespread ST depression
Frequent false positives:

Wellen's Syndrome

ECG from personal collection.

Type: OMI - NSTEMI
Need to add stuff here for wellens etc. etc. etc.
Pattern Recognition:
Question 1
Frequent false positives:
Pattern Recognition:
1. Prolonged QTc
2. Increased TW : QRS ratio
Type: OMI - NSTEMI
Need to add stuff here for wellens etc. etc. etc.
Pattern Recognition:
Question 1
Frequent false positives:
Pattern Recognition:
1. Prolonged QTc
2. Increased TW : QRS ratio
Type: OMI - NSTEMI
Need to add stuff here for wellens etc. etc. etc.
Pattern Recognition:
Question 1
Frequent false positives:
Pattern Recognition:
1. Prolonged QTc
2. Increased TW : QRS ratio

Guideline

ECG from personal collection.

Type: OMI - NSTEMI
This pattern also encompases multvessel disease which has become unstable as manifested by widespread ST depression at rest with ST elevation in either of the righward facing leads aVR/V1
Pattern Recognition:
Question 1
Frequent false positives:
Pattern Recognition:
1. Prolonged QTc
2. Increased TW : QRS ratio
Type: OMI - NSTEMI
This pattern also encompases multvessel disease which has become unstable as manifested by widespread ST depression at rest with ST elevation in either of the righward facing leads aVR/V1
Pattern Recognition:
Question 1
Frequent false positives:
Pattern Recognition:
1. Prolonged QTc
2. Increased TW : QRS ratio
Type: OMI - NSTEMI
This pattern also encompases multvessel disease which has become unstable as manifested by widespread ST depression at rest with ST elevation in either of the righward facing leads aVR/V1
Pattern Recognition:
Question 1
Frequent false positives:
Pattern Recognition:
1. Prolonged QTc
2. Increased TW : QRS ratio

Joker

ECG from personal collection.

Type: OMI - NSTEMI
This pattern also encompases multvessel disease which has become unstable as manifested by widespread ST depression at rest with ST elevation in either of the righward facing leads aVR/V1
Pattern Recognition:
Question 1
Frequent false positives:
Pattern Recognition:
1. Prolonged QTc
2. Increased TW : QRS ratio
Type: OMI - NSTEMI
This pattern also encompases multvessel disease which has become unstable as manifested by widespread ST depression at rest with ST elevation in either of the righward facing leads aVR/V1
Pattern Recognition:
Question 1
Frequent false positives:
Pattern Recognition:
1. Prolonged QTc
2. Increased TW : QRS ratio
Type: OMI - NSTEMI
This pattern also encompases multvessel disease which has become unstable as manifested by widespread ST depression at rest with ST elevation in either of the righward facing leads aVR/V1
Pattern Recognition:
Question 1
Frequent false positives:
Pattern Recognition:
1. Prolonged QTc
2. Increased TW : QRS ratio
Omi patterns
First three sections of playcard are all ecg patterns of an occlusive MI and indicating the need for emergent cath. Also referred to colloquially as "STEMI-equivalents."