Are You at Risk for NOMI? Discover the Hidden Dangers
Published: Jun 05, 2024
Nonocclusive mesenteric ischemia (NOMI) can strike unexpectedly, especially in those with underlying health issues. Let's uncover the risk factors and see if you might be vulnerable.
Contents
Understanding the Risks
NOMI is more likely to occur in people with certain cardiovascular and medical conditions. These include heart failure, cardiogenic shock, and peripheral artery disease. The use of vasoconstrictive drugs and certain lifestyle factors like substance abuse can also increase your risk.
The Role of Medications
Certain medications that affect blood circulation can elevate the risk of developing NOMI. These include drugs like digoxin and alpha-adrenergic agonists, which may constrict blood vessels and reduce intestinal blood flow. Patients on these medications should be closely monitored for signs of intestinal ischemia.

Could Lifestyle Be a Factor?
Lifestyle choices, such as the use of cocaine and methamphetamines, can significantly impact blood flow and increase the likelihood of NOMI. Additionally, severe burns and recent surgeries like cardiopulmonary bypass can contribute as risk factors.
Frequently Asked Questions
Heart failure and peripheral artery disease are significant risks.
Yes, drugs that reduce blood flow can increase risk.
Yes, substance use and severe burns are contributing factors.
Wrapping Up
Identifying and managing risk factors early can help prevent NOMI.
References
- BjΓΆrck M, Wanhainen A. Nonocclusive mesenteric hypoperfusion syndromes: recognition and treatment. Semin Vasc Surg 2010; 23:54.
- Rossi UG, Petrocelli F, Seitun S, Ferro C. Nonocclusive mesenteric ischemia in a dialysis patient with extensive vascular calcification. Am J Kidney Dis 2012; 60:843.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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