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How should the modified Sgarbossa Criteria be used in initial evaluation of patients with suspected AMI
suspected AMI with LBBB ... with AMI with LBBB ... (Validated) - ST ... AcuteCoronarySyndrome #ACS #LBBB ... #Evaluation #Algorithm
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis • Lead V1 - LBBB Criteria •
• Lead V1 - LBBB ... • Lead V1 - RBBB ... aVR - Vereckie Algorithm ... #Algorithm #
What are the original Sgarbossa Criteria? - Concordant ST-segment elevation ≥ 1 mm in any lead =
- Concordant ST-segment ... points - Concordant ST-segment ... points - Discordant ST-segment ... Sgarbossa #Criteria #LBBB
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 ... Modified #Criteria #LBBB
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
terminal delay [BBB ... drugs Pacemaker ST ... repolarization Diffuse ST ... Brugada syndrome ST ... #LBBB #IVED #WPW
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
diagnosing MI in LBBB ... Pacemaker 1) Identify LBBB ... or Pacemaker LBBB ... conducted 2) LBBB ... Discordance" = ST
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Diagnosis for ST ... EMBOLISM - LBBB
Brugada Syndrome - EKG Characteristics Patients with Brugada have a pseudo-RBBB and persistent ST elevations in V1-V2. Type
have a pseudo-RBBB ... and persistent ST ... • Downsloping ST ... wave Type 2: • ST ... "Saddle back" ST-T
Modified Sgarbossa Criteria - Suspected AMI with LBBB on ECG #Diagnosis #Cardiology #Sgarbossa #Modified #LBBB #Algorithm
Suspected AMI with LBBB ... Sgarbossa #Modified #LBBB ... #Algorithm #AMI
Pacemaker Placement Indications Class I: • Third degree block • Advanced 2nd degree block • Symptomatic Mobitz
• Alternating RBBB ... /LBBB with syncope ... without symptoms • RBBB ... PPM #cardiology #management
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