Dr Rael Sundy from Tel-Aviv had the immediate answer: this tracing represent an acute anterior wall MI .
Wednesday, August 21, 2019
LBBB and Sgarbossa Criteria in acute MI
What is the diagnosis? What criteria are used to further analyze this EKG ?
Dr Rael Sundy from Tel-Aviv had the immediate answer: this tracing represent an acute anterior wall MI .
Ideally, diagnostic tests for life-threatening conditions (i.e. AMI) need to be highly sensitive. The reason the original Sgarbossa criteria are limited in clinical practice is the low sensitivity (20%). This is why a new LBBB alone is no longer a criteria for emergent cath lab activation. Recently, Steven Smith, MD from Dr. Smith’s ECG Blog published a new criterion to replace the third component of the original Sgarbossa Criteria using the ST/S ratio instead of discordant ST-elevation ≥ 5mm.
Dr Rael Sundy from Tel-Aviv had the immediate answer: this tracing represent an acute anterior wall MI .
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