Why should I be mad? At least he said goodbye this time. I just wish I hadn’t wasted my money buying this stupid present.  Hey, you know what, you ain’t here to do nothing, you know? Ain’t like I’m still five years old, you know? Ain’t like I’m going to be sitting up every night, asking my mom “When’s Daddy coming home?” you know? Who needs him? Hey, he wasn’t there to teach me how to shoot my first basket, but I learned, didn’t I? And I got pretty damn good at it, too, didn’t I, Uncle Phil? Got through my first date without him. I learned how to drive, I learned how to shave, I learned how to fight without him. I had fourteen great birthdays without him. He never even sent me a damn card. To hell with him! I ain’t need him then and I don’t need him now. No, you know what, Uncle Phil? I’m gonna get through college without him, I’m gonna get me a great job without him, I’m gonna marry me a beautiful honey, I’m gonna have me a whole bunch of kids, and be a better father than he ever was. And I sure as hell don’t need him for that, because there ain’t a damn thing he could ever teach me about how to love my kids.......How come he don’t want me, man?

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In this week's episode of Parallax, host Dr Ankur Kalra engages in a thought-provoking discussion with Dr Stephen Smith, a pioneer in electrocardiography and myocardial infarction diagnosis. They delve into the groundbreaking OMI/NOMI paradigm (Occlusion MI vs Non-Occlusion MI), challenging the traditional STEMI vs non-STEMI terminology that has long been the cornerstone of acute coronary syndrome management.

Dr Smith presents compelling evidence highlighting the limitations of ST-elevation as a marker for acute coronary occlusion, discussing his recently published review paper: "From ST-Segment Elevation MI to Occlusion MI: The New Paradigm Shift in Acute Myocardial Infarction".

The conversation explores the proposed shift to the OMI/NOMI terminology and the specific ECG criteria for diagnosing occlusion MI. Dr Smith discusses the challenges in disseminating this new paradigm and teaching these refined ECG interpretation skills to clinicians. Dr Kalra and Dr Smith explore exciting developments in AI-assisted OMI detection and ongoing studies aimed at validating the OMI/NOMI approach.

How can clinicians effectively implement the OMI/NOMI criteria into daily practice? What challenges exist in teaching these new ECG interpretation skills, and how can they be overcome? What advice does Dr Smith have for our listeners?

Full source library for this episode can be found on radcliffecardiology.com.

EP 121: OMI/NOMI: A Paradigm Shift in Myocardial Infarction Diagnosis With Dr Stephen Smith

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‘Parallax’ (/ˈparəlaks/)-noun: the effect whereby the position or direction of an object appears to differ when viewed from different positions. Join Ankur Kalra, MD as he shows you a different side to cardiovascular care, management and science. Listen to Ankur’s conversations with legendary cardiologists, critical reviews of key congresses and late-breaking trials, and concise summaries. Published every second Monday of the month, this is your fix of reliable updates on all things cardiology by someone from a non-traditional background, who is always trying to look at it from new angles! Dear cardiologists, we want to make this podcast about you, and for you! Please email us critical thoughts, comments and questions for Ankur at podcast@radcliffe-group.com.

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