13 results
How should the modified Sgarbossa Criteria be used in initial evaluation of patients with suspected AMI
modified Sgarbossa Criteria ... suspected AMI with LBBB ... with AMI with LBBB ... AcuteCoronarySyndrome #ACS #LBBB ... Evaluation #Algorithm #RebelEM
Right Bundle Branch Block (RBBB) - EKG Diagnosis
EKG Criteria:
 • QRS > 0.12 seconds
 • Slurred
Branch Block (RBBB ... Diagnosis EKG Criteria ... BundleBranch #Block #RBBB ... Diagnosis #ECG #electrocardiogram ... #cardiology
What are the original Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead =
original Sgarbossa Criteria ... #Diagnosis #Cardiology ... Original #Sgarbossa #Criteria ... #LBBB #RebelEM
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Ml, WPW, LVH, LBBB ... MI, WPW, RVH, RBBB ... ) - WideQRS: RBBB ... leads slurred S), LBBB ... EKG #diagnosis #electrocardiogram
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 ... #lbbb
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
Tachycardia - Differential ... Don't rely on criteria ... certain of AFib + RBBB ... /LBBB or identical ... Irregular #causes #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... STEMI Criteria misses ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
What is the new modified Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead
-
modified Sgarbossa Criteria ... 0.25 #Diagnosis #Cardiology ... ModifiedSgarbossa #Criteria ... #STSRatio #LBBB ... #RebelEM
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Trifascicular block - RBBB ... (<360ms) PE: RBBB ... Checklist #diagnosis #cardiology ... #electrocardiogram ... #differential
Wide Complex Tachycardia - ECG Definition and Causes
 • Wide Complex Tachycardia (WCT) is a cardiac
- with fixed BBB ... Ventricular pacing • Electrocardiogram ... WCT #diagnosis #cardiology ... #ekg #ecg #electrocardiogram ... #definition #differential