10 results
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... Sgarbossa criteria ... #ECG #Modified ... #Clinical #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Sgarbossa Criteria ... - Suspect STEMI ... #Criteria #Modified ... #cardiology #lbbb
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... anterior descending (LAD ... #Diagnosis #Cardiology ... #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Clinical #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
criterion 1 - ST ... criterion 2 - ST ... • Sgarbossa criterion ... 3 (modified) - ... #differential #cardiology
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... STEMI in the presence ... ≥ 1mm (in any lead ... S #Diagnosis #Cardiology ... #Sgarbossa #Modified
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Indications #Cardiac ... catheterization #cardiology
What is the new modified Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead
-
What is the new modified ... Sgarbossa Criteria ... ≥ 1 mm in any lead ... 0.25 #Diagnosis #Cardiology ... ModifiedSgarbossa #Criteria
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... Initiative #Management #Cardiology
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... V1 & V2 sit over ... #STEMI #Localization ... EinthovenTriangle #Cardiac ... EmergencyMedicine #Cardiology