At the ESC ACS guideline Q&A, I got up and asked the question of why the guidelines continue to use STEMI/NonSTEMI when it should be OMI NOMI? The answer from Dr. Ibanez, which you can listen to in the video below, was that OMI would be indeed better, but that they wanted to be pragmatic and simple, and that changing the terminology would be too confusing.”
Please order the CT with IV contrast.
The kidneys will be fine.
It's whatever diagnosis we are missing with the non-contrast CT that will damage the kidneys.