9 results
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Criteria - Suspect STEMI ... > 1 mm in any lead ... Checklist #EKG #electrocardiogram ... #ecg #cardiology
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 ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... in V1, unless LBBB ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
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 ... S #Diagnosis #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
depression • Sgarbossa ... aVL, V4 to V6 • Sgarbossa ... • Sgarbossa criterion ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
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 ... Modified #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
HOCM- dagger Q lat ... inf leads, LVH, LAE ... Checklist #diagnosis #cardiology ... #electrocardiogram ... #differential
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Sinus Tachy w/ BBB ... different P waves in lead ... EKG #diagnosis #electrocardiogram ... #cardiology #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... morphology similar to LBBB ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram