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cardiology diagnosis ecg ekg electrocardiogram criteria sgarbossa clinical differential ischemia modifiedsgarbossa rebelem stelevation acs acutecoronarysyndrome acutepericarditis acutestemi brugadasyndrome checklist dextrocardia
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
drugs Pacemaker ST ... Elevation AcutE STEMI ... Brugada syndrome ST ... Nonconducted APC #LAD ... #LBBB #IVED #WPW
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Modified Sgarbossa ... Discordance" = ST ... 3) Implement Modified ... Criteria - Suspect STEMI ... > 1 mm in any lead
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
0.5mm downgoing ST ... line; upsloping ST ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB
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 ... normally has ST ... STEMI Criteria misses ... @EM_RESUS #LAD
How should the modified Sgarbossa Criteria be used in initial evaluation of patients with suspected AMI
How should the modified ... suspected AMI with LBBB ... with AMI with LBBB ... (Validated) - ST ... #Evaluation #Algorithm
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
What is the new modified Sgarbossa Criteria? - Concordant ST-segment elevation ≥ 1 mm in any lead -
What is the new modified ... - Concordant ST-segment ... ≥ 1 mm in any lead ... V3 - Discordant ST ... Criteria #STSRatio #LBBB
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... ventricle pacing lead ... morphology similar to LBBB ... #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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