Literature Review: modified Sgarbossa criteria in the diagnosis of acute coronary occlusion MI in LBBB

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu


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:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What ST-segment abnormalities are expected in patients with LBBB?
  3. Would you activate the cath lab?