I was following since medical school 2017 and i was amazed by how our stemi /nstemi classification is soo faulty This is a revelation in MI Thank you Dr 🙏🏻
At this level of failure of OMI diagnosis, based in STEMI method or even with cited AI app, would not be more secure, send all infartion to emergencial cineangiocoronariography?
Unfortunately, there are two problems: 1. Only 10% of chest pain patients will have some type of infarction (OMI or NOMI); others will be ruled out for infarction on the basis of serial blood Troponin testing -> MI ruled out. 2. It takes 2-3 hours to (with High confidence) figure out if a patient has myocardial infarction. This is the time OMI patients do not have. All in all, it is not feasible due to the sheer volume of chest pain patients and the availability of cath lab networks. Also 90% of chest pain patients will never need a cath lab (because they will be ruled out on the basis of Troponin), so activating the lab could just intrude un-necessary harm.
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Great presentation! Thanks, guys.
Very useful. Thank you doctor!
I was following since medical school 2017 and i was amazed by how our stemi /nstemi classification is soo faulty
This is a revelation in MI
Thank you Dr 🙏🏻
Thank you for your support!
Best lecture
Great! Keep that queen up ❤
At this level of failure of OMI diagnosis, based in STEMI method or even with cited AI app, would not be more secure, send all infartion to emergencial cineangiocoronariography?
Unfortunately, there are two problems:
1. Only 10% of chest pain patients will have some type of infarction (OMI or NOMI); others will be ruled out for infarction on the basis of serial blood Troponin testing -> MI ruled out.
2. It takes 2-3 hours to (with High confidence) figure out if a patient has myocardial infarction. This is the time OMI patients do not have.
All in all, it is not feasible due to the sheer volume of chest pain patients and the availability of cath lab networks. Also 90% of chest pain patients will never need a cath lab (because they will be ruled out on the basis of Troponin), so activating the lab could just intrude un-necessary harm.
i just keep cycling as many miles as i can,
A breakthrough in diagnosing acute heart attacks! ❤🩹