28 results
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Criteria - Suspect STEMI ... > 1 mm in any lead ... b) Concordant STD ... SarahFoohey #Sgarbossa
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... for diagnosing STEMI ... ≥ 1mm (in any lead ... B: Concordant STD ... Diagnosis #Cardiology #Sgarbossa
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... have no pain - LAD ... avR - proximal LAD ... infarct, get a 15 lead ... electrocardiogram #cardiology #STEMI
Sgarbossa Criteria A - Concordant ST segment elevation of >1m, in any lead | Sgarbossa Criteria
Sgarbossa Criteria ... A - Concordant ST ... of >1m, in any lead ... B - Concordant ST ... of >5mm, in any lead
What are the original Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead =
are the original Sgarbossa ... - Concordant ST-segment ... ≥ 1 mm in any lead ... ≥ 5 mm in any lead ... Cardiology #Original #Sgarbossa
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... depression • Sgarbossa ... aVL, V4 to V6 • Sgarbossa ... • Sgarbossa criterion
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
: “Nonspecific ST ... STE in II, III, ... Reciprocal STD in ... STD in V2 (posterior ... Cardiology #EKG #STEMI
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... - Differential Algorithm ... The name STEMI ... believe that the ST ... #Differential #Algorithm
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... RBBB normally has ST ... an isolectric ST ... STEMI Criteria misses ... @EM_RESUS #LAD