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Sgarbossa’s ECG criteria for detecting ischemia in the presence of left bundle branch block (LBBB)

The Sgarbossa
Sgarbossa’s ECG ... #Diagnosis #Cardiology ... #ECG #EKG #Sgarbossas ... #Criteria #Discordant ... #LBBB
Sgarbossa Criteria - MI Diagnosis in LBBB or Paced Rhythm 

#Diagnosis #Cardiology #EKG #Sgarbossa #Criteria #Modified
Sgarbossa Criteria ... - MI Diagnosis ... in LBBB or Paced ... #Cardiology #EKG ... #Sgarbossa #Criteria
Modified Sgarbossa Criteria - Suspected AMI with LBBB on ECG #Diagnosis #Cardiology #Sgarbossa #Modified #LBBB #Algorithm
Modified Sgarbossa ... Criteria - Suspected ... AMI with LBBB on ... ECG #Diagnosis ... #Cardiology #Sgarbossa
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... Checklist for diagnosing ... see "Appropriate Discordance ... #ecg #cardiology
What are the original Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead =
V3 = 3 points - Discordant ... = 2 points #Diagnosis ... #Cardiology #Original ... #Sgarbossa #Criteria ... #LBBB #RebelEM
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... Criteria for diagnosing ... presence of a LBBB ... #Cardiology #Sgarbossa ... #LBBB
What is the new modified Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead
-
the new modified Sgarbossa ... Criteria? ... lead V1 – V3 - Discordant ... Ratio ≤ -0.25 #Diagnosis ... #LBBB #RebelEM
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... • Sgarbossa criterion ... preceding S-wave with discordant ... #EKG #diagnosis ... #differential #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... morphology similar to LBBB ... waves should be discordant ... QRS complex Pulmonary ... #cardiology #ecg