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How should the modified Sgarbossa Criteria be used in initial evaluation of patients with suspected AMI with LBBB? - Suspected patient with AMI with LBBB should have emergent primary PCI or fibrinolysis if: - Hemodynamic instability or acute heart failure (Validated) - Sgarbossa score ≥ 3 (Validated) - ST/S ratio ≤ -0.25 (Proposed, NOT Validated) #Diagnosis #Cardiology #ModifiedSgarbossa #AcuteCoronarySyndrome #ACS #LBBB #Evaluation #Algorithm #RebelEM