From ST Elevation MI to Occlusion MI: the new paradigm shift in Acute Myocardial Infarction. New @JACCJournals #JACCAdvances state-of-the-art review with Jose Nunes de Alencar, @AslangerE, @PendellM and @smithECGBlog https://t.co/ccnX3at4X2

LBBB and the paradigm shift from #STEMI to #OcclusionMI. Editorial with @HansCHelseth and @smithECGBlog https://t.co/jcUvmRdvDV in reference to great study by @josenalencar https://t.co/P6lnhobjxc

Check out this must-read throw back article: STEMI Critics Are Right. We're Missing Too Many Heart Attacks by Dr Matt Bivens on why OMI/NOMI matters. @Matt_Bivens https://t.co/dpZBOcn0hn

Chest pain in a rural hospital: is this pericarditis or does the patient need thrombolytics? https://t.co/g9AbZXdn9g @ECGcases

From ST-elevation to actual coronary occlusion, new insights challenge traditional ACS markers. Read more in #EHJ. https://t.co/ca312eFvGc

In this ECG Cases, @ECGcases walks through cases to uncover secondary BRADIcardias—from BRASH & hyperkalemia to ACS, hypothermia, drug toxicity, ICH & infection. Read → https://t.co/gB74FQaDNM #ECG #Bradycardia #EMCases #DrJesseMcLaren #FOAMed

New Lecture. October 23, 2025.  Replace STEMI/NSTEMI with OMI/NOMI, and AI in the Diagnosis of OMI https://t.co/n6g7zc8CKy @PMcardioApp @PowerfulMedical

BREAKING NEWS: The rationale and design paper of the DIFOCCULT-3 Trial (prospective evaluation of STEMI to OMI paradigm shift) is now online at

Really excited to share my first ever publication!! An editorial that been posted in the British Journal of Hospital Medicine! https://t.co/dArqiCxp40 Thanks to @DrMarkMills for all his support!! Couldn't have done it without him! #ECG #ECGChallenge #FOAMed

Next month! #ECG #EKG #FOAMed

Em resposta ao nosso artigo, @ECGcases , @HelsethHans e @smithECGBlog (autor do critério MSC) comentam a importância do estudo. "Apesar de guidelines terem removido essa recomendação, o conceito persistiu. O estudo do de Alencar deve por um fim a esse debate".

HEARTS ACS course: from #STEMI to #OcclusionMI, with @ECGcases ✅ systematic #ECG interpretation ✅ evidence-based pearls ✅ interactive, small group format ✅ practice with real cases To register: https://t.co/RsX42srPOo @EMCases #MedEd #EKG

New #ECG course next month! HEARTS Emergencies: from ECG to EM management ✅ systematic interpretation ✅ interactive, small group format ✅ practice with real cases, from a variety of emergencies Register at https://t.co/RsX42srPOo @ECGcases @EMCases #EKG #foamed #meded

@PendellM @PMcardioApp @RobertHermanMD @willyhfrick @ECGcases @AslangerE

Door-to-Balloon Time Outperforms ST-Segment Elevation in Predicting the STEMI vs. NSTEMI Final Diagnosis https://t.co/JGvulc6vG1. With @josenalencar @PendellM @willyhfrick @smithECGBlog #OcclusionMI

https://t.co/xIKWoWWmZ3

Great @ACEPNation talk by @bcooper876 on limits of #STEMI criteria, #ECG signs of #OcclusionMI (including @smithECGBlog modified Sgarbossa, @AslangerE pattern, RBBB with subtle OMI, South African flag pattern, and more), and emerging AI @PMcardioApp. #acep25

Thanks @ACEPNation for invitation to speak on paradigm shift from #STEMI to #OcclusionMI, and share the work of @josenalencar @AslangerE @PendellM @smithECGBlog. #ACEP25

HEARTS Foundations: introduction to #ECG interpretation Live interactive online course Sept 24+Oct1 Register: https://t.co/RsX42srhYQ 50% discount for students @ECGcases @EMCases #medstudent #medicalstudent #studentnurse #paramedicstudent #resident #medtwitter #meded #medschool

Bayesian Diagnosis of Occlusion Myocardial Infarction: A Case-Based Clinical Analysis Full text: