Sgarbossa Criteria

Results:
Weekly Workout June 5, 2022
Potpourri of cases: using Sgarbossa criteria to diagnose acute occlusion myocardial infarction in LBBB and RV pacers, bizzare bradycardias, and so much more!

A 70-year-old male with PMHx of HTN, HFrEF, and atrial fibrillation presents to the ED with nausea and lightheadedness. He is noted to be bradycardic on arrival. The following ECG…

Weekly Workout November 29, 2021
STAT ECG Diagnoses: antiarrhythmic considerations in patients with unstable irregular tachydysrrhythmias

A 29-year-old male with no significant known PMHx presents to the ED with palpitations. He is found to be markedly tachycardic on arrival. The following ECG is obtained:

Weekly Workout November 22, 2021
Literature Review: diagnosis of acute coronary occlusion myocardial infarction in patients with ventricular paced rhythms

A 65-year-old woman presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout November 15, 2021
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:

Weekly Workout February 22, 2021
ECG Basics and Fundamentals: the basics of left bundle branch block (LBBB) and how to diagnose acute coronary occlusion myocardial infarction 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:

Weekly Workout November 9, 2020
STAT ECG Diagnoses: left bundle branch block (LBBB) basics and expected findings with a focus on how to diagnose acute coronary occlusion myocardial infarction in these patients

A 85-year-old woman with a known history of LBBB presents to the ED with chest pain concerning for acute ischemia. The following ECG is obtained: 

Weekly Workout September 27, 2020
STAT ECG Diagnoses: diagnosis of acute myocardial infarction (MI) in patients with paced rhythms

An 86-year-old female with PMHx of CAD and pacemaker placement presents to the ED with acute chest pain. Pain has been radiating to the right upper extremity for 1 hour…

Weekly Workout May 11, 2020
STAT ECG Diagnoses: would you activate the cath lab for this patient with a left bundle branch block (LBBB)?

A 84-year-old man presents to the ED with chest pain 6 days after PCI where he received a stent to his LAD. He is noted to have a LBBB at…

Weekly Workout January 27, 2020
Literature Review: modified Sgarbossa criteria in the diagnosis of acute coronary occlusion MI in LBBB

An elderly patient with a history of CAD and a known LBBB presents to the ED with acute onset of chest pain. The following ECG is obtained:

Weekly Workout January 20, 2020
Literature Review: modified Sgarbossa criteria in the diagnosis of acute coronary occlusion MI in paced rhythms

A 81-year-old male with PMHx of HTN and CAD s/p pacemaker insertion, presents to the ED complaining of chest pain radiating down both arms x 1 hour. He reports improvement…

Weekly Workout November 3, 2019
ECG Basics and Fundamentals: expected ECG findings in right ventricular (RV) paced rhythms

 A 71-year-old male with PMHx of hypertension and pacemaker placement presents to the ED with chest pain, nausea, diaphoresis, and shortness of breath. The following ECG is obtained:

Weekly Workout September 23, 2019
STAT ECG Diagnoses: does the presence of a LBBB obviate the ability to diagnose occlusion MI?

A 48-year-old man presents with 90 minutes of chest pain. He is hemodynamically stable and has a normal first troponin. The following ECG is obtained:

Weekly Workout June 24, 2019
2019 ECG Competition Answers (Part 1/3)

This week we review the answers to the first 6 questions from the 7th annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red…

Weekly Workout February 4, 2019
Literature Review: occlusion MI in paced rhythms

HPI:  An 84-year-old male presents to the emergency department with 4 hours of chest pain. He has a history of coronary artery disease and has a pacemaker. The following ECG…

Weekly Workout November 19, 2018
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 3/3)

A 80-year-old man presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout November 12, 2018
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 2/3)

A 60-year-old woman presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout October 28, 2018
Literature Review: Sgarbossa criteria in paced rhythms

 A 80-year-old woman presents to the ED with midsternal chest pain and near-syncope. The following ECG is obtained:

Weekly Workout October 22, 2018
Literature Review: Sgarbossa criteria in LBBB

A 60-year-old man presents to the ED with midsternal chest pain that does not resolve with aspirin. He is dyspneic and diaphoretic on arrival. The following ECG is obtained:

Weekly Workout January 13, 2018
ECG Basics & Fundamentals: serial ECGs in a patient with chest pain and a paced rhythm

HPI: A 63-year-old male calls EMS after a syncopal episode. He is found to be alert, but complaining of chest pain that radiates bilaterally and that is associated with diaphoresis….

Weekly Workout January 16, 2017
4 challenging EMS cases to help you nail the diagnosis

A 60-year-old male calls EMS for nausea and vomiting. He is found to be hypotensive in the field with a blood pressure of 75/40 mmHg. The following ECG is obtained:

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