11 results
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
diagnosing MI in LBBB ... Criteria - Suspect STEMI ... > 1 mm in any lead ... b) Concordant STD ... wave > 25% in any lead
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
big R or R/S>I STEMI ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB ... electrocardiogram #cardiology #STEMI
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
LAD IWMI LAHB ... drugs Pacemaker ST ... Elevation AcutE STEMI ... Brugada syndrome ST ... #LBBB #IVED #WPW
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... presence of a LBBB ... same direction as ... ≥ 1mm (in any lead ... B: Concordant STD
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... Algorithm The ... believe that the ST ... EMN @EMNews #ACS ... #Algorithm #cardiology
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 ... #Algorithm #RebelEM
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
Management of patients with known or suspected malignant pleural effusion (MPE) - An Official ATS/STS/STR Clinical
- An Official ATS ... /STS/STR Clinical ... should be used as ... Effusions #MPE #Algorithm ... #Management #ATS
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... ventricle pacing lead ... morphology similar to LBBB ... "pinched off" as ... #STEMI #Segment
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
July 2015 the ACC ... and published an algorithm ... emergent cath lab ... CardiacArrest #Algorithm ... Comatose #CathLab #NSTEMI