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

ECG Weekly Workout with Dr. Amal Mattu


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 with laying down. 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 RV pacemakers?
  3. Would you activate the cath lab?