Sgarbossa's criteria: Difference between revisions
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==Background== | ==Background== | ||
*Assesses likelihood that pt w/ chest pain and baseline LBBB is having a STEMI | *Assesses likelihood that pt w/ chest pain and baseline LBBB is having a [[STEMI]] | ||
*Criteria do NOT need to be found in contiguous leads | *Criteria do NOT need to be found in contiguous leads | ||
*RBBB should NEVER have ST elevation | *RBBB should NEVER have ST elevation | ||
Revision as of 23:19, 18 July 2011
Background
- Assesses likelihood that pt w/ chest pain and baseline LBBB is having a STEMI
- Criteria do NOT need to be found in contiguous leads
- RBBB should NEVER have ST elevation
- Low Sn, High Sp
Criteria
- ST elevation ≥1 mm in a lead with upward (concordant) QRS complex - 5 points
- ST depression ≥1 mm in lead V1, V2, or V3 - 3 points
- ST elevation ≥5 mm in a lead with downward (discordant) QRS complex - 2 points
Points
- ≥3 points = 98% probability of STEMI
See Also
ST-Elevation Myocardial Infarction (STEMI)
Source
- Sgarbossa, American Heart Journal 2006