• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

相似文献

1
Beyond the ST-segment in Occlusion Myocardial Infarction (OMI): Diagnosing the OMI-nous.心肌梗死闭塞时ST段以外的情况：诊断心肌梗死闭塞症。
Turk J Emerg Med. 2022 Sep 28;23(1):1-4. doi: 10.4103/2452-2473.357333. eCollection 2023 Jan-Mar.
2
Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute coronary occlusion myocardial infarction.与ST段抬高型心肌梗死（STEMI）诊断标准相比，OMI心电图表现对急性冠状动脉闭塞性心肌梗死的诊断准确性。
Int J Cardiol Heart Vasc. 2021 Apr 12;33:100767. doi: 10.1016/j.ijcha.2021.100767. eCollection 2021 Apr.
3
Comparison of the ST-Elevation Myocardial Infarction (STEMI) vs. NSTEMI and Occlusion MI (OMI) vs. NOMI Paradigms of Acute MI.急性心肌梗死（AMI）中 ST 段抬高型心肌梗死（STEMI）与非 ST 段抬高型心肌梗死（NSTEMI）以及闭塞性心肌梗死（OMI）与非闭塞性心肌梗死（NOMI）的比较。
J Emerg Med. 2021 Mar;60(3):273-284. doi: 10.1016/j.jemermed.2020.10.026. Epub 2020 Dec 9.
4
From Q/Non-Q Myocardial Infarction to STEMI/NSTEMI: Why It's Time to Consider Another Simplified Dichotomy; a Narrative Literature Review.从非ST段抬高型心肌梗死到ST段抬高型心肌梗死/非ST段抬高型心肌梗死：为何是时候考虑另一种简化二分法了；一篇叙述性文献综述
Arch Acad Emerg Med. 2022 Oct 1;10(1). doi: 10.22037/aaem.v10i1.1783. eCollection 2022.
5
Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab.识别心电图细微闭塞性心肌梗死并将其与模拟病例区分开来：走向或远离心导管实验室的十步。
Turk Kardiyol Dern Ars. 2021 Sep;49(6):488-500. doi: 10.5543/tkda.2021.21026.
6
DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction (DIFOCCULT Study).心电图对急性冠状动脉闭塞导致心肌梗死的诊断准确性（DIFOCCULT研究）
Int J Cardiol Heart Vasc. 2020 Jul 30;30:100603. doi: 10.1016/j.ijcha.2020.100603. eCollection 2020 Oct.
7
Beyond STEMI-NSTEMI Paradigm: Dante Pazzanese's Proposal for Occlusion Myocardial Infarction Diagnosis.超越ST段抬高型心肌梗死-非ST段抬高型心肌梗死范式：但丁·帕扎内塞对闭塞性心肌梗死诊断的提议
Arq Bras Cardiol. 2024 Jul 15;121(5):e20230733. doi: 10.36660/abc.20230733. eCollection 2024.
8
Ischemic ST-Segment Depression Maximal in V1-V4 (Versus V5-V6) of Any Amplitude Is Specific for Occlusion Myocardial Infarction (Versus Nonocclusive Ischemia).V1-V4（而非 V5-V6）导联任何幅度的缺血性 ST 段压低均提示心肌梗死伴闭塞（而非非闭塞性缺血）。
J Am Heart Assoc. 2021 Dec 7;10(23):e022866. doi: 10.1161/JAHA.121.022866. Epub 2021 Nov 15.
9
OMI/NOMI: Time for a New Classification of Acute Myocardial Infarction.心尖部心肌梗死/非阻塞性心肌梗死：急性心肌梗死新分类时机已到。
J Clin Med. 2024 Sep 2;13(17):5201. doi: 10.3390/jcm13175201.
10
Missing occlusions: Quality gaps for ED patients with occlusion MI.漏诊闭塞：急诊室中患有闭塞性心肌梗死患者的质量差距。
Am J Emerg Med. 2023 Nov;73:47-54. doi: 10.1016/j.ajem.2023.08.022. Epub 2023 Aug 15.

引用本文的文献

1
Reevaluating STEMI: The Utility of the Occlusive Myocardial Infarction Classification to Enhance Management of Acute Coronary Syndromes.重新评估ST段抬高型心肌梗死：闭塞性心肌梗死分类在加强急性冠状动脉综合征管理中的作用
Curr Cardiol Rep. 2025 Mar 27;27(1):75. doi: 10.1007/s11886-025-02217-8.

本文引用的文献

1
Immediate and early percutaneous coronary intervention in very high-risk and high-risk non-ST segment elevation myocardial infarction patients.极高危和高危非 ST 段抬高型心肌梗死患者的即刻和早期经皮冠状动脉介入治疗。
Clin Cardiol. 2022 Apr;45(4):359-369. doi: 10.1002/clc.23781. Epub 2022 Mar 9.
2
Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab.识别心电图细微闭塞性心肌梗死并将其与模拟病例区分开来：走向或远离心导管实验室的十步。
Turk Kardiyol Dern Ars. 2021 Sep;49(6):488-500. doi: 10.5543/tkda.2021.21026.
3
Of Occlusions, Inclusions, and Exclusions: Time to Reclassify Infarctions?关于闭塞、内含物和排除物：是时候重新分类梗死了吗？
Circulation. 2021 Aug 3;144(5):333-335. doi: 10.1161/CIRCULATIONAHA.121.055827. Epub 2021 Aug 2.
4
Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute coronary occlusion myocardial infarction.与ST段抬高型心肌梗死（STEMI）诊断标准相比，OMI心电图表现对急性冠状动脉闭塞性心肌梗死的诊断准确性。
Int J Cardiol Heart Vasc. 2021 Apr 12;33:100767. doi: 10.1016/j.ijcha.2021.100767. eCollection 2021 Apr.
5
Time for a new paradigm shift in myocardial infarction.是时候在心肌梗死领域进行新的范式转变了。
Anatol J Cardiol. 2021 Mar;25(3):156-162. doi: 10.5152/AnatolJCardiol.2021.89304.
6
STEMI: A transitional fossil in MI classification?ST 段抬高型心肌梗死：MI 分类中的过渡性化石？
J Electrocardiol. 2021 Mar-Apr;65:163-169. doi: 10.1016/j.jelectrocard.2021.02.001. Epub 2021 Feb 13.
7
The STEMI/NonSTEMI Dichotomy needs to be replaced by Occlusion MI vs. Non-Occlusion MI.ST段抬高型心肌梗死/非ST段抬高型心肌梗死的二分法需要被阻塞性心肌梗死与非阻塞性心肌梗死所取代。
Int J Cardiol. 2021 May 1;330:15. doi: 10.1016/j.ijcard.2021.02.015. Epub 2021 Feb 10.
8
Total coronary occlusion in non ST elevation myocardial infarction: Time to change our practice?非 ST 段抬高型心肌梗死中的完全性冠状动脉闭塞：是时候改变我们的治疗策略了？
Int J Cardiol. 2021 Apr 15;329:1-8. doi: 10.1016/j.ijcard.2020.12.082. Epub 2021 Jan 4.
9
Comparison of the ST-Elevation Myocardial Infarction (STEMI) vs. NSTEMI and Occlusion MI (OMI) vs. NOMI Paradigms of Acute MI.急性心肌梗死（AMI）中 ST 段抬高型心肌梗死（STEMI）与非 ST 段抬高型心肌梗死（NSTEMI）以及闭塞性心肌梗死（OMI）与非闭塞性心肌梗死（NOMI）的比较。
J Emerg Med. 2021 Mar;60(3):273-284. doi: 10.1016/j.jemermed.2020.10.026. Epub 2020 Dec 9.
10
DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction (DIFOCCULT Study).心电图对急性冠状动脉闭塞导致心肌梗死的诊断准确性（DIFOCCULT研究）
Int J Cardiol Heart Vasc. 2020 Jul 30;30:100603. doi: 10.1016/j.ijcha.2020.100603. eCollection 2020 Oct.

心肌梗死闭塞时ST段以外的情况：诊断心肌梗死闭塞症。

Beyond the ST-segment in Occlusion Myocardial Infarction (OMI): Diagnosing the OMI-nous.

作者信息

Aslanger Emre K

机构信息

Department of Cardiology, Pendik Training and Research Hospital, Marmara University, Istanbul, Turkey.

出版信息

Turk J Emerg Med. 2022 Sep 28;23(1):1-4. doi: 10.4103/2452-2473.357333. eCollection 2023 Jan-Mar.

DOI:10.4103/2452-2473.357333
PMID:36818946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9930387/
Abstract

The ST-segment elevation (STE) myocardial infarction (MI)/non-STEMI (NSTEMI) paradigm has been the central dogma of emergency cardiology for the last 30 years. Although it was a major breakthrough when it was first introduced, it is now one of the most important obstacles to the further progression of modern MI care. In this article, we trace why a disease with an established underlying pathology (acute coronary occlusion [ACO]) was unintentionally labeled with a surrogate electrocardiographic sign (STEMI/NSTEMI) instead of pathologic substrate itself (ACO-MI/non-ACO-MI or occlusion MI [OMI]/non-OMI [NOMI] for short), how this fundamental mistake caused important clinical consequences, and why we should change this paradigm with a better one, namely OMI/NOMI paradigm.

摘要

在过去30年里，ST段抬高型（STE）心肌梗死（MI）/非ST段抬高型心肌梗死（NSTEMI）模式一直是急诊心脏病学的核心教条。尽管它在首次引入时是一项重大突破，但如今却成为现代心肌梗死治疗进一步发展的最重要障碍之一。在本文中，我们追溯了为何一种具有既定潜在病理（急性冠状动脉闭塞[ACO]）的疾病被无意中用替代心电图征象（STEMI/NSTEMI）而非病理底物本身（ACO-MI/非ACO-MI或简称为闭塞性心肌梗死[OMI]/非闭塞性心肌梗死[NOMI]）来标记，这种根本性错误是如何导致重要临床后果的，以及为何我们应该用更好的模式，即OMI/NOMI模式来改变这一模式。