Difference between revisions of "Sgarbossa's criteria"

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==Background==
 
==Background==
  
-Sgarbossa Criteria help in assessing the likelihood that a patient with chest pain and a baseline LBBB is having a STEMI.
 
  
-Low Sens, High Specificity
+
* -Sgarbossa Criteria help in assessing the likelihood that a patient with chest pain and a baseline LBBB is having a STEMI
 +
* Low Sensitivity, High Specificity
 +
  
 
==Sgarbossa Criteria==
 
==Sgarbossa Criteria==
  
1. ST-segment elevation ≥1 mm in a lead with upward (concordant) QRS complex (5 points)
 
  
2. ST-segment depression ≥1 mm in lead V<sub>1</sub>, V<sub>2</sub>, or V<sub>3</sub> (3 points)
+
* ST-segment elevation ≥1 mm in a lead with upward (concordant) QRS complex (5 points)
 +
* ST-segment depression ≥1 mm in lead V1, V2, or V3 (3 points)
 +
* ST-segment elevation ≥5 mm in a lead with downward (discordant) QRS complex (2 points)
 +
  
3. ST-segment elevation ≥5 mm in a lead with downward (discordant) QRS complex (2 points)
+
Points Probability STEMI
 +
0 16%
 +
5-10 88-100%
 +
  
Specific, not sensitive.
+
Notes==
  
{| class="pbNotSortable" width="200" cellspacing="1" cellpadding="1"
 
| '''Points<br />'''
 
| '''Probability STEMI'''
 
|-
 
| 0
 
| 16%
 
|-
 
| 5-10
 
| 88-100%
 
|}
 
  
Notes
+
* Unlike general AHA STEMI criteria, the Sgarbossa criteria do NOT need to be found in contiguous leads
 +
*  RBBB should NEVER have ST elevation
 +
  
-Unlike general AHA STEMI criteria, the Sgarbossa criteria do NOT need to be found in contiguous leads
+
==Adapted From:==
 +
 
 +
 
 +
Sgarbossa, American Heart Journal 2006
  
-Multiple elements, only 3 have been sufficiently validated
 
  
-A RBBB should NEVER have ST elevation
 
  
==Adapted From:==
 
  
Sgarbossa, American Heart Journal 2006
+
[[Category:Cards]]

Revision as of 23:38, 1 March 2011

Background

  • -Sgarbossa Criteria help in assessing the likelihood that a patient with chest pain and a baseline LBBB is having a STEMI
  • Low Sensitivity, High Specificity


Sgarbossa Criteria

  • ST-segment elevation ≥1 mm in a lead with upward (concordant) QRS complex (5 points)
  • ST-segment depression ≥1 mm in lead V1, V2, or V3 (3 points)
  • ST-segment elevation ≥5 mm in a lead with downward (discordant) QRS complex (2 points)


Points Probability STEMI 0 16% 5-10 88-100%


Notes==


  • Unlike general AHA STEMI criteria, the Sgarbossa criteria do NOT need to be found in contiguous leads
  • RBBB should NEVER have ST elevation


Adapted From:

Sgarbossa, American Heart Journal 2006