Difference between revisions of "Sgarbossa's criteria"

Line 1: Line 1:
 
==Background==
 
==Background==
  
 
+
*Sgarbossa Criteria help in assessing the likelihood that a patient with chest pain and a baseline LBBB is having a STEMI
* -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
* Low Sensitivity, High Specificity
 
 
  
 
==Sgarbossa Criteria==
 
==Sgarbossa Criteria==
  
 
+
*ST-segment elevation ≥1 mm in a lead with upward (concordant) QRS complex (5 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 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)
* ST-segment elevation ≥5 mm in a lead with downward (discordant) QRS complex (2 points)
 
 
   
 
   
 
 
Points Probability STEMI
 
Points Probability STEMI
 
0 16%
 
0 16%
 
5-10 88-100%
 
5-10 88-100%
 
   
 
   
 +
==Notes==
  
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
 
* RBBB should NEVER have ST elevation  
 
 
   
 
   
 
+
==Source==
==Adapted From:==
 
 
 
 
 
 
Sgarbossa, American Heart Journal 2006
 
Sgarbossa, American Heart Journal 2006
 
 
 
  
 
[[Category:Cards]]
 
[[Category:Cards]]

Revision as of 07:01, 3 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

Source

Sgarbossa, American Heart Journal 2006