Sgarbossa
Results:
Occlusion MI Patterns in Left Bundle Branch Block
Key Points LBBB Does Not Exclude Acute Coronary Occlusion: LBBB alters ventricular activation, leading to expected secondary ST/T abnormalities. However, acute occlusion myocardial infarction (OMI) can and must still be…
Modified Sgarbossa Criteria
Key Points Wide QRS Rhythms Can Mask OMI: Left bundle branch block (LBBB) and right ventricular (RV)-paced rhythms alter ventricular depolarization, producing expected secondary ST/T changes. However, acute occlusion MI…
Potpourri of cases: differential diagnoses for long QTc intervals, diagnosing occlusion MI in LBBB and paced rhythms, and so much more!
A 48-year-old woman is brought into the emergency department with fever and altered mental status. The following ECG is obtained on arrival:
Literature Review: 2022 ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain in the Emergency Department Highlights
A 60-year-old man is brought into the emergency department by EMS for acute onset chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained on…
STAT ECG Diagnoses: the basics of left bundle branch blocks (LBBB) and how to identify occlusion MI in these patients
A 65-year-old man presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
ECG Tags
- & Myocardial Ischemia
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- 1st degree AV Block
- 1st degree AVB
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- 3rd degree AV block
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- aberrancy
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- differential diagnoses
- differential diagnoses for left axis deviation
- Diffuse ST elevation
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- lead misplacement
- lead V1
- left anterior fascicular block
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- Left axis deviation
- left axis deviation ddx
- left bundle branch block
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- lewis
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- Nielsen
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- nonsustained
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- normal
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- Not Enough P Waves (P:QRS < 1) DDx
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- NSVT
- Occlusion MI
- Occlusion MI - STEMI Criteria & Beyond
- Occlusion MI patterns
- OMI
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- OMI Pattern
- OMI Pattern: ST Depression V1-V4
- OMI Patterns in Left Bundle Branch Block
- OMI Patterns in Ventricular Paced Rhythms
- OMI Patterns: STEMI (-) Occlusion MI
- Opiate Toxicity
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- right atrial enlargement
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- right heart strain
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- Second-Degree AV Block with 2:1 Conduction
- segments
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- ST
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- Tall R wave in aVR
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- Ventricular tachycardia mimics
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- wide complex irregular tachycardia
- Wide complex QRS
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- Wide complex tachycardia
- Wide QRS
- Wide QRS (BBBs & Paced Rhythms) vs. STEMI
- wide qrs bradycardia
- Wide QRS Complex DDx
- wide qrs differential
- Wide QRS interval
- wide vs. narrow QRS
- Wolff Parkinson White
- Wolff-Parkinson White (WPW) Syndrome
- WPW
- wpw syndrome
- WPW syndrome and Pseudo-MI patterns
- WPW vs STEMI
- WPW with Antidromic SVT
- WPW with atrial fibrillation
- WPW with Orthodromic SVT
- WPW with SVT
- Young patients
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