Skip to main content
. 2024 Oct 8;3(11):101314. doi: 10.1016/j.jacadv.2024.101314

Table 2.

Examples of Evidence-Based OMI Findings

STEMI(−) OMI from first diagonal occlusion, with South African flag pattern graphic file with name fx1.gif
STEMI(−) OMI from RCA occlusion with concomitant LAD stenosis, with Aslanger pattern. graphic file with name fx2.gif
STEMI(−)OMI with de Winter pattern graphic file with name fx3.gif
STEMI(−)OMI. There are anterior hyperacute T waves and early Q waves, from LAD occlusion graphic file with name fx4.gif
STEMI(−)OMI interpreted as normal, but there’s primary STD-aVL reciprocal to inferior hyperacute T waves, and STD V2, from RCA occlusion. graphic file with name fx5.gif
False positive STEMI. Cath lab activated for anterior STEMI, but there’s QS waves with small T/QRS ratio from old LV aneurysm graphic file with name fx6.gif
STEMI(−)OMI in paced rhythm, with, Smith-Modified Sgarbossa (STE/S >25%) in III from RCA occlusion graphic file with name fx7.gif
STEMI(−)OMI. Patient with prior MI presented with chest pain, without any changes on serial ECG. But there was refractory ischemia and new regional wall motion abnormality, from LAD occlusion with huge infarct (peak troponin I 225,000 ng/L) Inline graphicInline graphic

LAD = left anterior descending; RCA = right coronary artery; abbreviations as in Table 1.