Cardiovascular Medicine Book

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Sgarbossa Criteria

Aka: Sgarbossa Criteria
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  1. Indications
    1. EKG criteria for diagnosis of acute Myocardial Infarction when Left Bundle Branch Block is present
  2. Criteria
    1. ST segment elevation of 1 mm or more if in same direction as QRS Complex in any lead
      1. Score: 5 Points
    2. ST segment depression of 1 mm or more in any lead from V1 to V3
      1. Score: 3 Points
    3. ST segment elevation of 5 mm or more in opposite direction of QRS Complex
      1. Score: 1 Point
  3. Interpretation
    1. Score of 3 or more suggests acute Myocardial Infarction
  4. Efficacy
    1. Test Specificity: 90%
    2. Test Sensitivity: 20%
  5. References
    1. Sgarbossa (1996) NEJM 334(8):481-7

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