9 results
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Discordance" = ST ... - Suspect STEMI ... electrocardiogram #ecg ... #cardiology #lbbb
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 ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Clinical #Cardiology
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... complex 10 in lead ... #ECG #Modified ... #Clinical #Cardiology
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 ... S #Diagnosis #Cardiology ... #Sgarbossa #Modified
What is the new modified Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead
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What is the new modified ... Sgarbossa Criteria ... ≥ 1 mm in any lead ... 0.25 #Diagnosis #Cardiology ... Criteria #STSRatio #LBBB
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... depression • Sgarbossa ... 3 (modified) - ... #Equivalents #ECG ... #differential #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
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... morphology similar to LBBB ... #STEMI #Segment ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram