6 results
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... 3) Implement Modified ... Criteria - Suspect STEMI ... > 1 mm in any lead ... Diagnosis #Checklist #EKG
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... Remember that RBBB ... STEMI Criteria misses ... @EM_RESUS #LAD ... #EKG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB ... #EKG #diagnosis
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... for diagnosing STEMI ... presence of a LBBB ... ≥ 1mm (in any lead ... #Criteria #LBBB
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... positive based on the modified ... complex 10 in lead ... #Modified #EKG
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... ventricle pacing lead ... morphology similar to LBBB ... STElevation #ST #STEMI ... #ekg #electrocardiogram