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cardiology diagnosis ecg ekg electrocardiogram criteria sgarbossa clinical stelevation acutepericarditis acutestemi brugadasyndrome checklist dextrocardia differential diffusestelevation digeffect duchennemusculardystrophy earlyrepolarization hyperkalemia
LAD IWMI LAHB RAD [PHB RVH Lateral wall infarct Lead reversal Dextrocardia Wide ORS RBBB - terminal delay [BBB IVED WPW = delta wave Hyperkalemia Type l antiarrhythmic drugs Pacemaker ST elevation Early repolarization
LAD IWMI LAHB ... Pacemaker ST elevation ... pericarditis Elevation ... AcutE STEMI Variant ... #LBBB #IVED #WPW
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 ... wave > 25% in any lead
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 ... So ANY ST Elevation ... STEMI Criteria misses ... @EM_RESUS #LAD
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 ... discordant ST elevation ... ≥ 1mm (in any lead
What is the new modified Sgarbossa Criteria? - Concordant ST-segment elevation ≥ 1 mm in any lead -
What is the new modified ... Concordant ST-segment elevation ... ≥ 1 mm in any lead ... depression ≥ 1 mm in lead ... Criteria #STSRatio #LBBB
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
of ST Segment Elevation ... Diagnosis Framework STEMI ... ventricle pacing lead ... morphology similar to LBBB ... #ST #STEMI #Segment
Modified Sgarbossa Positive ECG Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... complex 10 in lead ... V6 has ST elevation ... Positive #ECG #Modified
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