8 results
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
for ST Segment ... Elevations - ACUTE ... EMBOLISM - LBBB ... #STElevation #STEMI ... #Cardiology #Emergency
What are the original Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead =
Criteria? ... = 2 points #Diagnosis ... #Cardiology #Original ... #Sgarbossa #Criteria ... #LBBB #RebelEM
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... STEMI if any of ... #EKG #electrocardiogram ... #ecg #cardiology
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Criteria for diagnosing ... STEMI in the presence ... ST changes (ST segments ... discordant ST elevation ... #Cardiology #Sgarbossa
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... morphology similar to LBBB ... complex Pulmonary Embolism ... #ST #STEMI #Segment ... #diagnosis #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... So ANY ST Elevation ... isolectric ST segment ... STEMI Criteria misses ... #Clinical #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... of ST segment at ... • Sgarbossa criterion ... #EKG #diagnosis ... #differential #cardiology
What is the new modified Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead
-
the new modified Sgarbossa ... elevation ≥ 1 mm ... Ratio ≤ -0.25 #Diagnosis ... #Cardiology #ModifiedSgarbossa ... #LBBB #RebelEM