10 results
Sgarbossa Criteria - MI Diagnosis in LBBB or Paced Rhythm 

#Diagnosis #Cardiology #EKG #Sgarbossa #Criteria #Modified
- MI Diagnosis ... in LBBB or Paced ... #Diagnosis #Cardiology ... #EKG #Sgarbossa ... #Criteria #Modified
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
for diagnosing MI ... - Suspect STEMI ... #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
meeting ST elevation criteria ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology ... #electrocardiogram ... #ecg #ekg
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... Remember that RBBB ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... #Modified #EKG ... #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
500 DANGER - Short ... QT <300-360 ms: ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
deWinter T waves - starts ... in V1, unless LBBB ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... STEMI in the presence ... of a LBBB If there ... S #Diagnosis #Cardiology ... #Criteria #LBBB
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... 3 (modified) - ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... morphology similar to LBBB ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram