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The modified Sgarbossa Rule uses proportions to identify acute AMI in the setting of ST-elevations in
the setting of ST-elevations ... LBBB - Ratio of ST-elevation ... MI #Diagnosis #EM ... Modified #Sgarbossa #Criteria
Sgarbossa Criteria A - Concordant ST segment elevation of >1m, in any lead | Sgarbossa Criteria
Sgarbossa Criteria ... A - Concordant ST ... lead | Sgarbossa Criteria ... B - Concordant ST ... Disconcordant ST
ST Elevation MI Criteria 
#Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... Criteria #Diagnosis ... STElevationMI #Criteria
What are the original Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead =
original Sgarbossa Criteria ... - Concordant ST-segment ... points - Concordant ST-segment ... points - Discordant ST-segment ... Original #Sgarbossa #Criteria
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
on ECG - aVR ST ... > 1 mm - aVR ST ... segment elevation > ST ... Electrocardiogram #Cardiology #Criteria
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
1) Upsloping ST ... (>= 1 mm) 2) ST ... Diagnosis #Cardiology #Criteria
Diagnosis of ST-Elevation Myocardial Infarction in the Presence of Left Bundle Branch Block With the ST-Elevation
Diagnosis of ST-Elevation ... Block With the ST-Elevation ... Sgarbossa #Modified #Criteria
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
- Elevation of ST ... and upsloping ST ... depression • Sgarbossa criterion ... V6 • Sgarbossa criterion ... • Sgarbossa criterion
Criteria for LBBB RBBB LAFB LPFB #Diagnosis #EM #IM #Cardiology #EKG #RBBB #LBBB #Criteria #LAFB #LPFB
Criteria for LBBB ... LPFB #Diagnosis #EM ... EKG #RBBB #LBBB #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
RBBB normally has ST ... So ANY ST Elevation ... an isolectric ST ... STEMI Criteria misses