Sgarbossa's Criteria – New Graphic

Here is a graphic I created to help explain Sgarbossa’s criteria for identifying acute myocardial infarction (AMI) in the presence of left bundle branch block (LBBB) or paced rhythm.

In a previous article I showed this graphic which was created using PowerPoint.

Here is a similar graphic I created this morning by cropping actual ECGs that meet the criteria.


These are the features we should be looking for with LBBB and ventricular paced rhythms!

See also:

80 year old male CC: Chest pain

Excessive discordance as a marker of acute STEMI in LBBB

80 year old male CC: Chest pain – Conclusion

Identifying AMI in the presence of LBBB – Sgarbossa’s Criteria Part I

Identifying AMI in the presence of LBBB – Sgarbossa’s Criteria Part II

“New” LBBB – What’s the big deal?

Discordant ST-segment elevation in LBBB or paced rhythm

Found on the Lifenet Receiving Station (LBBB with concordant ST-depression in leads V3 and V4)

62 year old male CC: Chest pain (LBBB with ST-elevation > 0.2 the QRS complex)

58 year old female CC: Chest pain

58 year old female CC: Chest pain – Conclusion (meets all 3 of Sgarbossa’s criteria)

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Comments
iliyas
Masters Case #01: 50 Year Old Male – Severe Chest Pain
Short runs of V.T LAD LAHB Widespread st depression with St elevation in avr Lf msin / three vessle disease Not sure about rhythm
2015-08-26 06:34:44
Darren Earley
Masters Case #01: 50 Year Old Male – Severe Chest Pain
1. L.A.D 2. De Winters (ST Elevation aVR, ST abnormality V2-3). 3. Non sustained VT 4.Poor quality ECG so cannot say about p waves or whether A.fib. Pre alert for ppci = evolving occlusion of LAD artery. Aspirin. Pain relief. Diesel
2015-08-25 17:26:50
michelle
Masters Case #01: 50 Year Old Male – Severe Chest Pain
first pt. sat's are to low at 94% for just room air pt. needs hi-flow o2 at 15 lt. min. i see a-fib. with runs of 3. st depression. there is also a chance of pheumonia. after o2 administer fluids, a chest x-ray, monitor the heart and ekg especially where bp is low.
2015-08-25 16:57:39
Ivan Rios
Understanding Adenosine (Adenocard)
Correct, even for stress test, with the same purpose.
2015-08-18 17:07:24
Joppe
Understanding Adenosine (Adenocard)
Adenosine is also used to measure FFR in the cathlab to achieve maximum vasodilation in the vessels in the Heart.
2015-08-18 16:02:13

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